E1: US Response to COVID-19 & Impact on Startups, VC & Public Markets with David Friedberg

0:00

all right everybody welcome to another edition  of the all-in podcast we'll call this episode one we did a test and over a hundred thousand  of you listened to the test podcast that we knew the audios if you did in a few days Tomas  is already getting addicted to his statistics a new podcaster Lima to focus on something going  up yes exactly our portfolios are getting crushed

0:24

but the podcast numbers are going up there with  a meaningless victory to be sure but we got a lot of positive feedback and we're all sitting at  home in quarantine as you can see I set up my home office I got our microphone here and Shema  tha's in his bedroom and dear Freiburg I think is in his wine room or something in his uh in his  compound are you in the safe room is this the safe

0:45

room Dave Freiburg is with us again he got a lot  of great feedback and he's now on the Twitter you can follow him at Friedberg I don't know if he  showed his Twitter down because he was getting harassed on Twitter welcome to the club are you in  your safe room David yeah it's brutal on Twitter I don't know how you guys do it you put something  up and everyone you know just goes after you

1:05

it's hard you out there in the Twitter world the  Twitterverse basically you have to mute and block anybody who is under a hundred followers and being  an absolute jerk because it's likely a Russian bot you know being run out of like Manila or something  like that they've got all these like sophisticated

1:25

rings of people that they just hire for ten bucks  a day to harass people online I mean I know it sounds like a crazy conspiracy theory but it's  actually true this large groups of bots who go after people and try to kick create chaos but okay  we're sitting here it's today's Wednesday we did

1:44

our podcast on Saturday the stock market has gone  down another twenty percent since then I guess or so and we are looking like this is going to be a  fifty percent correction or something like that we're now you know well past a 30 plus percent  and on the good news front it looks like testing is actually occurring and that work on a virus  work on treatments is occurring we can call them

2:14

cures but treatments is occurring and quarantine  in place is being taken seriously and I guess the biggest thing is that Trump has basically  admitted that this is a crisis and he's taking it seriously Friedberg what is your assessment  of where we are today versus when we taped on Saturday in terms of the resolution to this we  are we overreacting reacting just enough or not

2:39

reacting enough there's three things to consider  the health the policy and then the markets on the health front it seems like we have done a lot in  terms of containment and we're ramping up testing we are still not doing broad general general  population testing which is necessary for us to truly understand the dynamics of this disease and  also to understand the contagion of this disease

3:04

and we need to fix that problem there's a task  force of a hundred people out of DC being led by Jared Kushner and a number of people from  the tech industry that are working on ramping up testing and doing broader general population  testing the policy decisions are what get quite scary and that is all of the containment shutting  down travel shutting down borders shutting down

3:24

bridges and the economic ramifications of doing  so are frightening I think I mentioned the other day that 48 percent roughly of the US workforce  works in small businesses another roughly 10 percent work in travel another roughly 12 percent  work in energy and you know you kind of add this up and you can quickly see why Steve Mucha and  the US Treasury Secretary was saying that we

3:47

should expect 20 to 30% of the workforce to be  unemployed by this summer if we keep this up so that is a frustrating and staggering statistic  and something worth debating whether that policy decision is appropriate relative to the potential  life and health and and Health System impact you know which one is worse and then the market  question is just I don't know how to address

4:10

it but things go ahead afterwards I have eight  things I want to say one more thing and it is I think the most important to come out today so the  markets are [ __ ] we're all in trouble or you know yadda yadda the most scary thing is Ford and  GM to shut down their plants today and the reason

4:35

they shut down their plants is because out of  fear of coronavirus and Auto Workers and the UAW basically forced them to do it the world  lives on a 30 day food supply so if you stop food production today there would only be 30 days  of food for the whole world to eat based on our calorie consumption per day and especially with  an isolated border and we import a lot of food

4:56

in the United States if that means that we are  then going to shut down other factories the Ford GM shut down and we're going to shut down food  production processing and distribution factories then we have a food security crisis and this  becomes a real societal problem so the concern that I have with the factories being shut down  today is the precedent it sets and the potential

5:16

follow-on from there in the food system and one  thing we can't stop doing is making a distributing food to humans in the United States or else we are  going to have problems you're right but before we go there the good news is that these directives  don't apply to national critical infrastructure

5:32

and the food supply is covered within that so  unless something cataclysmic happens those folks are still going to make sure that food supply  is there I do agree with you that the issue that we have to contend with is that you know there  may not be as much and in the you know 30th to 90th day that becomes a real issue if this thing  becomes a very protracted problem this sort of

6:00

brings us back David without being too alarmist  about how we started and how you started really importantly at the beginning which is there is a  small but very credible body of evidence that is starting to show and this is what you put out on  Twitter and part of why you got you know attacked

6:17

probably by the pharma Lobby but that shows that  there is a there is potentially an enormous ly large asymptomatic spreader dynamic in this  disease so can you describe that and what that may mean and why there's a lot of silver lining in  good news that if it's true there are several data points that are showing us that there may be an  unexpectedly high number of people that get this

6:49

disease and don't have any symptoms and show it  the historical data that we've gathered to date has been largely symptomatic patients and in some  places like in Korea asymptomatic patients that had really close contact with symptomatic patients  that were confirmed to be positive and in Korea in

7:06

particular they found a large cohort nearly 40% of  the infected population were people between 20 and 29 years old that did not exhibit any symptoms or  had very mild symptoms had a runny nose and didn't even know that they were sick on the princess  cruise ship it turns out that up to 50 percent may have been asymptomatic people were all tested  on that cruise ship because there were so many

7:29

people that were positive and through that data  set that cohort we found a very large asymptomatic population 50% roughly the NBA players have  now been tested and out of seven players on five teams so out of seven players on those five  teams that have tested positive it seems like none of them are having any symptoms there may be  one person who's having a cough but generally

7:50

they seem one of I think it was Donovan Mitchell  said I could go play a seven game series tomorrow so this data is really important and it hasn't  been fully accounted for in the models and the predictions of the pandemic and the predictions of  the fatality rate we're assuming that let's say 2% of people that get this disease end up dying and  by the way that's also based on an age histogram

8:10

that may not be appropriate for our particular  cohort in the United States if you took that data and then you just did it based on the fact  that a large percentage of people actually don't die but they end up just being asymptomatic it  really changes the denominator and it skews the results a paper published showed that in China up  to eighty six percent of people did not realize

8:29

that they were sick or they were unreported they  had mild symptoms if you take that high level you take that low level call it somewhere between  twenty-five and eighty per se T six percent maybe even as high as eighty six percent of patients are  asymptomatic which means that the actual fatality

8:43

rate is much much lower even in a large cohort  that gets infected here so we should be mindful of this new data that's emerging and worse Racing  and acting from a policy basis as if 2 percent of people 3 percent of people 4 percent of people  that get this are gonna die and that may not actually be true based on what we're saying in  the last week I have a comment in a statement

9:05

the comment is people will say David you can't  extrapolate from an NBA player who may just be in peak physical fitness although I think your  answer is going to be it's not clear that the that the disease is correlated necessarily with  physical fitness for on physical fitness at all it just may be the strain and how your body processes  but then the question is doesn't this mean that we

9:29

need to have broad-based massive testing not just  of symptomatic populations so not just the PCR test that we've heard a lot about but also these  antibody tests so that we've know that people have had it and what's the status of that David what's  the status evidence that that's exactly right tomorrow and by the way on the healthy NBA player  point it's absolutely true people that are between

9:52

20 and 30 the average age in the NBA is 26 years  old people that are between 20 and 30 years old generally seem to have no to mild symptoms based  on what we saw in Korea the other datasets need to be taken into account so the NBA is an interesting  anecdote sure and you could discredit it all you

10:07

wanted saying that it's a highly correlated  class and so on because everyone's together all the time but we could look at the data that  came out of China in a paper that was published in the journal Science and a paper that was published  in the journal Nature from Korea that showed very large percentages anywhere from 20 to 50 to 80%  or 90% of people being completely asymptomatic

10:27

across an age spectrum certainly very heavier  weighted towards the younger age bracket from you know children all the way up to 30 or 40 years  old you can be completely asymptomatic and so these are really interesting discoveries that have  happened and so to your point we need more data we need to confirm that hypothesis because that's  how science works so we have a hypothesis let's

10:48

go test it the problem is we're not testing it  and we should be as a priority right now because the policy decisions we're making are based upon  a denominator that may be wrong so the correct action should be to go get those antibody tests  go out into the population and start testing the unscented asymptomatic general population and see  what percentage of people in these high-risk zones

11:08

like Seattle and LA and New York and SF already  have the antibodies to this virus meaning they've been infected with this virus and have not or  are not showing any symptoms and that gives us a better sense of a how widespread this infection is  and B the true dynamics of the fatality rate and

11:24

the symptomology of this disease and how it may  affect the people those IgG tests are being made on mass in China today they're being shipped to  countries like Italy where they are in fact being used on the frontline they involve a blood draw  and then they have this lateral it's there called a lateral flow assay in terms of how they're kind  of tested the blood runs across a strip and you

11:44

see a value and you have a pretty good sense at  that point those kits cost a couple of pennies to make in China we could probably get a couple  million of them I don't understand why we're not I don't understand why someone in the federal  government isn't begging China and apologizing and appeasing to them to send us those kits there  are a lot of people I know that have bought them

12:02

on the Internet I have a bunch of people that I  know have bought them they have been shipped in through brokers and they are not FDA approved they  cannot be used for diagnostic purposes because of FDA guidelines that have the FDA regulates these  things they can be used for research purposes but

12:17

they may not be very sensitive and very specific  and they don't have great testing on them so we don't estimate the sensitivity and the specificity  to be 90 percent roughly 10 percent false positive roughly 10 percent false negative but for what  we're trying to accomplish that's good enough we're not trying to give people a diagnosis of  disease we're trying to run an epidemiological

12:34

study and we should on the general population  to figure out how many people out there are asymptomatic and have been infected that it's  an important statistic that's missing and to your point if we find out that there is a large  population of people that have actually felt this disease passed through them it's faster that  we can sort of get people back to work out in

12:56

the streets which is now probably going to be the  most important thing we can do to just prevent a complete economic calamity yeah yeah there are  there are Jason and sorry treatments Jim ops all right interrupt you but treatments are the  other thing I think you're going to talk about that treatments are interesting let's talk about  that right now because to me what's incredible

13:19

is the again now what is emerging and and its  small and scale relative to how amplified it may may should or should not be is you know Ren  des vir is very different but it just seems like prophylactically even there's some data that's  showing out of France that chloroquine seems to be effective these are these are solutions that  are pennies to make and some of the some of the

13:43

feedback that I've heard is that part of why the  FDA the CDC the the federal apparatus is reluctant to embrace these things is in part because of  pressure from those lobbies but that seems to me unfathomable in a moment like this so why do you  think the government hasn't put out the CDC has

14:05

zero directive right now on the management  and efficacious management of this disease why is that okay what say you Qi and others have  said and doctors around the country echo is that these treatments have not been clinically tested  through a blinded controlled study and that is a very fair assertion generally speaking for doing  good medicine but we are in a crisis state and

14:29

in a crisis state you have to triage and you also  have to triage policy and we should be considering creating policy and changing the way that we do  policy under these extenuating circumstances if doing treatment can reduce fatality rates by up  to 4x as Korean doctors have claimed it is worth

14:47

taking the risk or perhaps it is worth letting  the FDA say renessa vehicle Etra chloroquine and others are being widely produced widely  distributed the government is mandating it and doctors and their patients can decide if and  when they want to use it and let them take the risk without clinical trials and without data and  the typical process of the FDA what's the downside

15:09

of taking these drugs are they particularly  dangerous I mean I've heard the colloquy gnomic perhaps incorrectly Cola quint chloroquine  I've heard that this can be a little bit nasty in terms of side-effects so is there some major  downside that I mean it's kind of like an off use of a drug right like this is an off use of a  drug as opposed to it's an off use of a drug and

15:29

some of the antivirals aren't even fully tested in  humans so we don't yet know what the side-effects may be and also remember side effects can change  based upon your health condition so someone that's in respiratory distress may have different side  effects than someone who's taking it in a healthy controlled clinical trial so we're not really sure  that's the argument that doctors would make is you

15:49

know our first mandate is to do no harm and so  they don't want to apply a medicine that might do harm and so that is the standard protocol and  practice and process however again in a crisis state China and Korea said guys we're trying  this thing and it's working and we're adopting it let's go for it and they race forward it could be  that this is a good time for the United States to

16:09

consider an emergency policy action where we make  a lot of this stuff make it available and simply like doctors use their best judgment rather than  have the FDA be the paternal state that makes a decision for the doctors or makes a recommendation  to the doctors well what do we think the fatality rate actually is like David if you were looking at  this and you had to place a bat and put a hundred

16:34

percent of your net worth on it and be all in and  have massive skin in the game where do you think the fatality rate here in the United States winds  up being overall because the data that came out of Wuhan has been markedly going down as they get the  numbers corrected who knows Chinese numbers you

16:52

know censored by the government and maybe perhaps  massaged - it's gonna be hard to tell what do you think the real fatality rate is the first fatality  rate I heard was 5.8 percent out of China though based on the paper that came out in science over  the weekend the wu hand data was estimated to be

17:07

1.4 percent and Wu hen was the worst data out of  China the quote-unquote rest of China is still estimated at about 0.15 percent or 0.1 6% 0.14  percent something like that where's that versus like the flu every year or something or the normal  flu 1.1 percent roughly yeah and so you know if you're looking at somewhere between 0.2 and 1.5  percent now in Italy I think they're at over 7

17:31

percent we talked about this on the last show  but Italy is a much older population and their health system is completely overwhelmed so there's  some confounding data that's confounding variables there that may be making Italy a very you outlier  on a distribution of what's gonna happen here the

17:48

United States has a population that's a little  bit older than China but much younger than Italy so our health system is and our health system is  generally more ICU beds per capita than Italy so so we should be in a better place the thing we  don't know that does concern me about the health system the United States and the population in  the United States is it seems that there may be

18:05

a high correlation with severity of disease and  a1c levels and and as a result the US has one of the highest obesity rates of any country in the  world and highest diabetes rates and so we may have a population that has a very high percentage  of people with a high a1c that may be at higher risk than say people in other countries I don't  know that for sure but that is those are two kind

18:29

of confounding statistics that may kind of make  things a little bit worse if I were to put my money on this look I'm a betting guy I would be a  little bit nervous at this point but I'd say it's probably somewhere between 0.15 and then call  it 1.8% you know call it that's that's an order of magnitude I know so you know but you could  do the math that's probably somewhere between

18:50

one and ten times as bad as the flu and so that  again leads to the big policy question about are the actions warranted is it let the health system  crash so that's imperfect then flipped to you Cho moth you've heard his basically his line at you  know 0.12 ten times the flu one point eight or something you know if we split the difference  of those two it's 0.5 it's a point six point

19:14

seven fatality rate is the reaction of sheltering  in place and the economic turmoil it's causing worth it yes or no right now you guys need to keep  talking I need to jump off for two seconds and I'm gonna run right back okay no problem and so what  do you what do you think now if we were to look at

19:36

your estimate David is it actually worth what's  happening would we if you and I were making the policy or you I and a Chamath were you know the  cabinet members as it were making this decision is this decision and the economy crashing and  a potentiality of ten fifteen twenty percent unemployment and all the downstream effects would  it be better to do what the UK was originally do

19:58

which is just a bad let's get the herd mentality  going and let's get the herd immunity immunity go I know this is like the most difficult question  in the world but like we're here so let's look it's not binary right it may not lock everyone  up and let everyone out the door it may be that

20:14

you have a more nuanced policy where you say let's  keep people over 65 years old give them the strong recommendation to stay home and make sure that  you distribute chloroquine to doctors around the country so as soon as elderly people start  having symptoms they maybe get some treatment but you know that's kind of an option you keep 65  year olds at home you do random general population

20:35

antibody testing and once you hit a certain  percentage of the population having been exposed to this thing it may be that at that point you  say okay you know the over 65 limit is lifted or it may be that you know you do something similar  to that at different age brackets have different containment recommendations you also do it with  with random gen-pop screening you also do it with

20:58

medicine being distributed so there's a nuanced  answer to that where the policy should be a little bit more directed it should be a little bit  more involved in terms of treatment testing and containment strategy and it doesn't need to be so  binary right it doesn't have to be everybody stay at home if we get to the point where a population  has very few people have had it then more people

21:21

should stay home so it doesn't spread or and then  if more people have it so if 50 percent of young people in San Francisco have it already we've got  herd immunity then maybe we can start saying hey if you're over 65 you can go out but just stay out  of restaurants or something is that what you're

21:37

saying yeah once you hit like 50 to 60% of the  population having antibodies to a particular virus you you know or like a flu for example you'll  see that our not number drop well below one and then explain or not to everybody again just so  yeah it's basically like the viral coefficient like for every one person that's infected or not  tells you how many other people will get infected

21:58

after them and so if it's 2.5 which is what some  estimates say it is for coronavirus right now then for every one person that gets infected  roughly two and a half people get infected and that number goes down as more people get infected  because there's more people get infected there's less people to infect and the rate at which you  can then infect other people also drop so your

22:16

are not collapses and so at a certain point you  have this kind of basis for saying hey guys what some okay now I got to step off sorry guys yeah no  problem do you think so sure my team is incredible I mean what you are seeing in real time as we're  doing this is literally like I've never seen this

22:35

before we we should probably explain what what is  going on so what is going on in the background is the markets are just completely torn now why are  the markets important many people aren't invested at all in the stock market I get it but it is  where liquidity and capital markets function and derived out of those capital markets is the money  that then kids startups it hits the banks which

23:06

then lend to small businesses it is the functional  machine the undergirding of the US and the world economy and we are in a moment that I have really  not seen since o8 where there are seizures in this market in extremely violent ways and so when I  had to jump off the phone it was me trying to do

23:35

my part to kind of help but also trying to make  sure that you know we maintain full liquidity in times like this it's incredible now Jason on the  assumption that you know Friedberg mahir may not come back I mean what dramatic podcasting we're  dealing it I know well you know I mean people also have their kids at home so you know I might  have to jump out and take care of the twins or are

23:59

old so it is definitely having a psychological  impact on everybody being home you've been home for over two weeks I've been home for a week I  went out once to do a podcast on my office with just one person there what I said I wanted to  do was start at sort of the ten foot level and I'd like to build up to the hundred thousand foot  level and I think that'll be a good way of talking

24:25

about what we teased and talked about a little bit  in episode zero which is sort of these second and third-order dynamic befo before we go to that let  me just I want to wrap up with David saying about what the change in policy should or could be so  right now we haven't we're having you know this

24:45

basically quarantined in some cases it's a hard  quarantine some cases a little bit softer it's a recommendation and you know people are being told  to you know stay at home it should this change and if under what conditions do we start going back  to normalcy because I think that's what people want to know is when is this gonna end and under  what circumstances I'm just talking about you

25:08

know staying home well look if it were me I think  what we would do is adopt some of the mitigation strategies of China and Korea and Singapore all  of these countries have kind of showed us a way to deal with it now we have to decide that a  short-term suspension of typical civil liberties is worth the trade-off now it's not worth it under  the normal course under any any any imaginable way

25:39

but if we had to trade off some of those civil  liberties in the short course so that we could get back to normalcy I think most of us at this  point and definitely all of us after another week or two of home isolation will do it and what I  think it would entail is setting up zones that we would understand to be uninfected and what that  means are people that don't have it or people that

26:04

have antibodies and eventually allowing those  zones to reopen so that we can actually have some amount of economic activity and what that  will require is massive testing of the entire population testing testing testing I mean there  should be lines and lines and lines it should be you know how we would have and we know by the way  how to mobilize this it is no different than when

26:30

we would go to vote right and you know we could  all be told based on birth year right everybody go based on birth year your local voting facility  there are phlebotomist there they can run these lfi A's they can and they can they can allow you  to be in a safe zone or not a safe zone if you're found to be an asymptomatic carrier then you can  self quarantine and socially distance and we can

26:54

really you know nip this thing in the bud in a  you know four or five six week time frame and yeah because these tests are available at such large  scale and because these tests are so insignificant ly cheap if it were up to me I would mobilize the  military in the National Guard I would mobilize

27:15

or voting infrastructure I mean another way  to do this with me why don't we just have the National Guard or doctors or whatever just go to  everybody's mailbox put in the kits and then say you know we have your kit in here on this date  and we'll go pick up the kids the problem with these lfi A's is that the amount of blood that  you need you cannot draw by yourself it's not a

27:33

what about the swab stuff I mean if we just did  the swab testing we just said hey why your house the swab is a PCR test that's looking for RNA and  the problem with that is that it's effective in a window it's uncomfortable to administer and less  to be done right away for those that are in the process of viral shedding god if you are not in  the process of viral shedding then that PCR test

27:55

is effectively ineffective and what I'm advocating  for is move past the PCR testing that should be done in an acute situation if you come into a  hospital where you're exhibiting symptoms the more important thing right now is to find people  that don't have it or people who are asymptomatic aliy spreading or those people that are immune  because if we can re baseline the denominator as

28:16

Friedberg said we may find some good news in that  it's very much like the flu in terms of numerical distribution in which case we can make some policy  changes and reestablish economic activity if it turns out that it's not at least we know that -  hmm but right now we're in the worst place which

28:35

is that we are in a situation of isolation and  confinement in the absence of data and this is I think what's so what's so infuriating to folks is  that we you know it's like Winston Churchill said America will do the right thing it's just that  they'll try everything else first and I think that

28:54

we are clearly on that path to trying everything  until we do the right thing everything okay and I think it's political I think it's political poker  as the reason one Freiberg everything okay just market trades really he's like literally you're  trying to cover stuff and just it's a great time to tax law tax harvest losses man yeah if you've  got companies that you're really religious about

29:23

that you would love to own for a long time and  you're underwater on them it's a great time to sell them take the loss harvest it and then buy  him back in the next 30 days so David I have I have a list of eight things and what I told Jason  is I wanted to start at the 10 foot level and end at the hundred thousand foot level okay and so  I'm gonna tee up the first question for both of

29:42

you guys and I have a view but all I'll save it  to the end so question number one of these eight lists of interesting things to talk about which  may be relevant for the folks listening what does this mean for startups and what should you do if  you are a unprofitable I mean by definition these these companies are default dead what if what  do you do if you're a startup CEO today yeah I

30:09

think it's a great question I'm dealing with it  like with about a dozen companies a day who are in this very acute situation you have to figure  out how you have to look at the instrument panel and then try to like a pilot I use the analogy  understand exactly how much altitude you have where the nearest airport is how much fuel  you've got onboard so I literally told folks

30:31

listen if you can close this money because a lot  of people were in the middle of doing deals close it immediately so that's number one if you're  if you got a deal on the table take the money number and some people do but most people don't  and I'm already seeing people reach rating deal terms based and cut and backing out so I had one  person back out of a deal on the syndicate calm an

30:49

angel investor said because the market conditions  I'm backing out and they had made the commitment they're backing on so you can see commitments  broken so assume it's gonna that no money's gonna get raised for the next three or six months at  a minimum and then you have to ask yourself well

31:03

how do I keep this company alive I have people  who are founders taking 80% salary cuts and then giving their staff 50% salary cuts and then that  takes their six months of runway makes it nine so that's number one you have to just make the  cuts and if you've chosen to be the founder of the company that that's that's your job is to  get everybody to safety and better to have four

31:21

out of five where three out of five employees  lose their job and the company be alive to come back and maybe get some stimulus later then to  have the company go out of business because you wouldn't make the cuts so you got to just take  the medicine and that's really with first-time entrepreneurs they don't understand that and  if they have an every business is different we

31:41

have some companies that are subscription-based  business or delivery based businesses they're actually seeing an increase in utilization  increase of people trialing their software so I have one company that's a consumer subscription  they had more trials this week than ever because people have free time so that company is going  to be fine but you got to make the cuts David

31:58

I'm not sure what your advice is or what you're  doing in your portfolio yeah I mean look I'm on 12 boards four companies have been or are in the  middle of term cheat or closing a deal so it's been an unfortunate timing for all this stuff what  happens to those four companies key difference the

32:16

term sheets yeah yeah very different things I mean  we've got one that I hope we close on Friday we signed on fright last Friday that the final Doc's  and money is not in the bank account yet I've got another one that's had a bunch of offers that  got rescinded but they weren't like signed yet it's just all over the place and and I think you  know one thing that's that's worth kind of paying

32:38

attention to for every company is you've got to  ask yourself firstly the hard question of going into this and coming out of this era that we're  kind of now entering that is a very bleak and dark era economically where's your customer gonna  be and what is your customer gonna be doing the customer model is changing overnight if you're  a company that that's sold you know software

33:03

into restaurants and restaurants are about to  potentially go bankrupt or suffer absolutely loss of revenue and get you know debt payments  restructured they're not going to necessarily be rushing to spend more money each month unless you  can help them immediately save money if you're a company selling to consumers and you're selling  to consumers that are gonna lose their jobs in

33:25

the next three months or lending to consumers  they're gonna be losing their jobs in the next three months you've got to be asking yourself the  question what can I be doing with my business so you got to start with your strategy question and  you got to make sure that your custom you got to think about where your customer is going to be  and how you can adjust your strategy as a result

33:40

the second thing I'd say is and I sent out a note  to my CEOs and I was like guys you gotta you know cut your burn and then you got to cut your burn  and you got to cut your burn if you've got burned you got to do everything you can to give yourself  the greatest chance of survival and I think on the

33:56

last all-in podcast Jason you mentioned having a  you know 36 months of cash that's ideal but if you can get your cash back your cash to get you to an  18 month runway 18 I average Jim you should be you should be doing everything you can to number one  kind of give yourself that breathing room even if that means creating milestones trading features  creating revenue goals trading all the things

34:18

that you're expecting to do survival matters more  than growth right now David Sinclair who wrote the book lifespan and as a Harvard biochemists  has highlighted that there's basically a gene the circuit genes as about seven of them in  humans and the circuit genes get turned on or off and it turns out every biological organism  on planet Earth has a circuit the circuit gene

34:40

tells the organism or tells the cell to either  grow or heal and this is a time for everyone to activate their circuit genes and stop focusing on  growth and focus on healing it's really important to optimize your unit economics to make sure you  know where your customer is to really reduce the burn to reduce the spend to reduce the push for  growth and expansion and just make sure you've

35:01

got a core business that you have a customer that  you can make money from that customer that you've really got unit economics right and reduce your  burn and give yourself that runway and extend your life so that's my that's my kind of well I think  we got question one out of the way let me let me

35:17

give you my my advice which is building on the  the back of both of what you said but I'm gonna take it from a different perspective so let's  look inside of a VC firm VC firms have limited partners and those limited partners are the most  sophisticated financial institutions in the world family offices of well renowned individuals  foundations university endowments nonprofits

35:45

you name it and all of them are allowed to invest  in this asset class because they themselves can prove that they're sophisticated and one way in  which they do it is they they have what's called portfolio allocation theory they construct a  portfolio of every hundred dollars they have and they say well I'd like to have you know 70%  of that in liquid instruments and that I'm gonna

36:10

have 60% in bonds and you know 40% in equities  and then that 30% they'll take and they'll say you know I want to have a mixture of all kinds of  different stuff some real estate some hedge funds some private equity and eventually when all of  those allocations are done there's an allocation

36:29

to venture now in the last few years what happened  is all of these folks you know move the dial they push the risk meter so that the allocation into  venture was upwards of seven eight nine percent of their overall portfolio now just to remind  you guys you know basic theory monetary theory would tell you when you put money in into an  illiquid instrument remember venture doesn't

36:54

return money until thirteen years after it's  done and you can't get it out it's not like a bond where you can go and instantaneously sell it  in a second you have to get returns that are much better than the market because you need to be  rewarded paid back for that illiquidity now in the last month what you've seen our portfolios  get completely turned upside down if your bonds

37:19

and equities before were worth $60 or $70 of that  hundred it's now worth $56 it could be worth $40 what that means is that that other $30 needs to  be worth much much less otherwise your portfolio model is completely upside-down and all of these  limited partners become forced sellers as well so

37:46

that can't happen so what is the my understanding  is the last time this happened in 2008 LPS kind of winked to the GPS and said listen it would be  good if there wasn't a capital call right now and then GPS not wanting to piss off their LPS the  VC firms not wanting to piss off the endowments as

38:07

an example said okay we're just gonna not make any  capital calls right now while the market recovers so that your equities go up and the percentage of  venture goes back down is that is that the likely scenario is LPS it's worse than that it's worse  than that because right now these foundations and sovereign wealth funds are trying to just stay  above water and as we get to the ten thousand a

38:31

hundred thousand foot view I'll give you the  picture of what's happening in their offices and again it's important because it is what make  sure we come out of this reasonably well which is a properly functioning capital market and right  now it is the most precarious that I have seen in 20 years so basically these LPS are gonna have  to portfolio rebalance and they're gonna have to

38:54

force venture capitalists to mark down their books  so these are just gonna make that decision to say hey my investment in Airbnb slack or uber is worth  X now I mean when they were private companies so not slack and not uber cuz they're public no but  previously private yeah but but Airbnb can it be

39:15

marked at thirty or forty billion dollars the  auditors will probably say no the LPS will say that it's not the GPS will want to because it'll  allow them to maintain their IRR as their rates of return and so what you're gonna have is when  these when these markdowns are forced to happen which will take another six months venture  capitalists returns will look terrible and

39:39

so their propensity to be able to add bad dollars  after good quote unquote you know to defend every company is going to go to zero right and and  as you said Jason there's gonna be a pall on on activity so I don't think 18 months is sufficient  I think you need at least 36 months w need to have three years of capital in the bank the worst thing  that'll happen if you have 36 months is you think

40:09

to yourself wow I was really conservative the best  thing that happens with 36 months is you survive the distribution of outcomes would tell you there  is zero point in taking the risk if you don't have to and this is why unfortunately it's going to be  a very difficult process of recalibrating all of

40:28

this stuff so for folks that are in these startups  we're gonna have to go through an unfortunate period of pain and you know as as Buffett said you  know rule number one of our business is to not go out of business rule number two is not to forget  rule number one yeah all right I think it's well said and is there any chance well we're sort of at  this you know street level on the front lines is

40:57

there any chance that we contain this very quickly  let's say under 60 days and that it looks like this virus mitigation through the various drugs  we talked about actually starts to work if that happens in the next six days what what will happen  to the markets it's gonna come there's a chance it could come roaring back what are the chances of  a roar back it cannot come roaring back so let

41:26

me explain to you what's happening right now in  the capital markets so let's take a step back and first look at what what the Fed has announced over  the last couple of days so and and here's why the Federal Reserve is important so the Fed basically  acts as a market making and liquidity function in

41:44

what's called the overnight repo market now that's  an obscure market for the average individual on Main Street but let me roughly explain why it's  and and at the end of it you're probably gonna have the same reaction as me which is what the  [ __ ] [ __ ] what the [ __ ] [ __ ] okay but I'll explain it in English first you're an LP a  limited partner and you give a hedge fund $1 and

42:10

very much like last episode how I explained why  hedge fund run levered the hedge-fund says well if I take this dollar you know the bank will give  me some some amount of leverage on it but it would be much better if I if I was able to basically  you know give them a an instrument like a bond

42:29

or some sort of short-term commercial paper and  then they'll give me more because they'll believe in the quality of the instrument okay so they  go in the repo market and they basically do a transaction overnight where they basically you  know buy some short-term commercial paper they use it as collateral and then they lever it  up and then they go put it in the market that

42:48

entire dynamic works as long as the repo function  works every day every night you kind of go and you clean up your balance sheet you look at how much  leverage you have you look at your leverage ratio you make sure that you have enough money and  you go and you refinance your short term paper that keeps you know JPMorgan Goldman Sachs Morgan  Stanley lending to you but if that market ceases

43:10

when the repo market ceases and there's no way for  you to either buy or sell commercial paper buy or sell short term money market instruments and on  the other side the markets are whipsawing up and down and so you're being margin called not being  margin called being margin called not being margin called the markets start to really seize and  capitulate and everybody is just losing enormous

43:35

amounts of money and what I mean by everybody it's  everybody it's hedge funds it's sovereign wealth funds its foundations its central banks everybody  is losing money and if we don't figure out how to bring some calm into the financial markets it will  leave all of these limited partners and all these

43:55

other people with not just a lack of liquidity  and a lot less money than they had before but this psychological pain of remembering what they  just went through and that'll prolong what we have to deal with to get out of it right so you  know this is why I think it's really important to understand that if we can nip the you know stage  zero of this which is the disease itself in the

44:30

bud and I don't mean by curing it and I don't mean  with a vaccine I mean by testing and data yeah if we can understand and bound it then everybody's  psychology can move to fixing the capital markets and right now how close we need it to be fixed  how close do you think we are to having that mass testing done and then I think we all think we're  gonna have a low mortality rate and then go back

44:53

to normalcy is that something that's happening  in 10 days 30 days or 60 days if you had to pick a number the the march back to normality David  I don't see any action to get the testing done that needs to get done right now my mom got  tested yesterday it seems like there are more tests out there this week than oh yeah Stanford  Oh clean up the testing there's definitely PCR

45:16

testing available now and you can probably get  your results in three to four days on average although some labs are super backed up yeah my mom  said she's gonna take three days or four days yeah but the the stuff that we're talking about which  is the general population testing I'll keep saying it it's so critical that we do this to figure  out how many people have already been infected

45:35

and didn't know it we don't have that data that  we don't even have a plan for and it's not on the radar the task force in DC is focused right now  on increasing the throughput and the availability of PCR or just in time you know PCR test blood  testing that's yeah yeah it's all blood testing

45:52

it's just a matter of like like let me explain  the the PCR test involved the RT PCR test involves taking blood and then there's basically six steps  that you have to go through with it in a lab and it's done on like three different machines and  the actual cycle takes 30 to 60 minutes at 30 to 45 minutes so by the time you have that backlog  and you can multiplex it but meaning you can do

46:15

multiple at the same time and you can kind of do  different things but generally these machines are not highly automated there are new machines that  are allowing us to automate more of these steps and making them go a little bit faster and do more  multiplexing but it is still a multi step cycle to

46:28

take the blood and turn it into a test result once  you've and and try to measure it's available it's a it's content and so this takes this takes some  time and so it's a chemistry lab it's doing this work so until we have a point-of-care solution  which is like a test strip or something else and and these are technically possible it's just  that they're not FDA approved and so they're not

46:51

getting made and distributed here whereas China  and Korea and Italy are using them out and they're made in factories in China even though they're not  tested and approved in the normal way these in the plan though to have these untested tests online  this week it's not what they're saying yeah but

47:05

you people are buying them yeah but so I guess  the question is when do you think we will have these you know the general population taking tests  and we get like a large-scale testing like South Korea did I think I'll agree that's the part of  the solution when does that happen unfortunately we're not parallel passing it we've put all of  our resources into increasing the availability and

47:29

throughput of the rt-pcr tests for acute infection  cases and as a result we have everyone focused on this there was some lab work and some research  departments I won't name them that we're working on doing this general population testing but they  got yanked into the be getting the rt-pcr scaled

47:46

up because oh my god were behind the curve we got  to fix this thing so we got to get over this first hump I think once we get over this first hump then  you're gonna see people distribute and work on this and I think getting over the first hump is  happening in the next call at seven to ten days and so then it's probably another 30 to 45 days  before we get these tests for general population

48:03

testing more broadly distributed so call it 45  days out why don't we do this at the same time I mean why can't we parallel this this makes no  sense to me we're there with similar tests and so many entrepreneurs in Silicon Valley that  are banging their head on the wall asking this question I've done so many phone calls over the  last few days of people being like what can we

48:21

do how can we get these things made where can we  go and everyone's just like flustered it's really frustrating anyway we've got a lot of individuals  that we're trying to kind of collect together to do this work some folks are calling China today  we're trying to see if we can get big bulk orders out of China we're just going to pay for it  ourselves and then try and get some research labs

48:39

to run that you know research universities around  the country to run the experiments for us using these untested unproven you know not have you run  one of these on yourself yet one of these unproven tests yet I haven't I actually a friend of ours  I did one with video on with him this morning

48:54

and so yes a mutual friend of ours a mutual friend  of ours yeah and so and then I know lots of people that have them and have used them and I've seen  them and I've gone through like you know I bought a bunch of them they arrived tomorrow and so I  see you know we see we know how these things work they're actually from a reliable source you know  these are not we know no one's actually done the

49:15

testing to prove the specificity and sensitivity  we're relying on a third party you know tested we don't really know but comfortable I keep hearing  they're uncomfortable what's uncomfortable then they stick it very far up your nose is that they  what people are or your you're referring to the rt-pcr test so what you're trying to do they're  you're trying to get a sample of living virus

49:32

on a swab and the best place to get that living  virus for this particular virus is in your nose or in your backyard throat so they're taking  a long q-tip and they're sticking it up your nose and they're sticking the back your throat  then they put it in a little solution that will keep the viral RNA alive and then that's what  they're shipping to the lab and that's what then

49:47

gets so it's uncomfortable to have it that far  up your nose is what they're saying that's why I keep saying it's uncomfortable I've had more  uncomfortable things up my nose I'm sure it's fine you know it's a q-tip in your nose yeah yeah  it's a q-tip way up in your nose so we actually think that math testing is a thirty to sixty day  I think it math testing if in the worst case is

50:12

30 is 30 to 60 days of what I'm imploring anybody  with any influence is we need to get this starting to happen in the next two to three weeks it needs  to start happening in the next two to three weeks and you know this is this is where I would say  there are a lot of other people other than David

50:31

myself you Jason the people on our group chat  buying tests for the mass population you know I just I just want to say something here which is  it is incredible to see guys like Jack Ma step up and you know do what he can to send stuff here  but I would say that thus far there's largely been an inverse correlation of contribution and  wealth during all of this and folks that are in

50:57

a position to help I think need to be more vocal  you know we all can't just participate when the times are good take advantage of the bully pulpit  when the times are good and then when times are complicated disappear and become anonymous its  part in why I think you and I decided to just do these as often as we can yeah because at least  we can think through the problems so that at

51:18

least people can hear our voices and understand  that we are thinking through as much as possible what to do I am literally calling folks in Wall  Street all the time because what little I can do to assure them or be a market participant right  now to maintain liquidity I need to do because

51:36

in the absence of that participation we're gonna  just create more and more havoc and I think it's important for other people who are in a position  either monetarily or through influence or both to be out there right now doing something you know  just called Friedberg right now they should give Freiburg a hundred billion dollars we'll go to  China we'll get the test and we can do our own

51:59

broad-based population study right now I would  jump on that right now looking at the statistics as of today we obviously the total cases in  China hit 80,000 with 3237 deaths they had only 11 new deaths yesterday and Italy 35,000  total cases 4,200 new cases and they added four hundred seventy five deaths yesterday with a total  death count of two thousand nine hundred seventy

52:32

eight so that is just stunning what's happening in  Italy and it seems I don't know if the trendline is it's getting worse or not but it's it's a it's  a horrific and awful situation they're completely out of beds their their triaging elderly people  and letting them die in the hall so that younger people who have a higher chance of surviving can  actually get oxygen it's just awful and they're

52:56

having 3,500 new cases or they're at 3,500 yeah  there are over 3,000 cases but added yesterday so there's really it's it is flattening but who  knows if that's because they're just overwhelmed and they can't do the testing but the debts are  something that seems to come down the last three days we're looking at different time series the  number of people that died yesterday are in fact

53:22

the number of people that died yesterday the  number of people that tested positive yesterday doesn't tell you as much because the test results  may be four days delayed and they may be ten days into their symptoms by the time they get tested  and so on and so forth so the testing data significantly lags the infected population  count likely and may not represent much of

53:42

anything right so there it's very and it's also  hard to know what the average fatality timeline looks like there are published reports now out  of China and Korea that start to try and specify this a little bit but we are looking at different  time series when we try and compare these things and so everyone be cognizant of that as you  look at these numbers it's not simple apples

53:59

and apples let's let's move to a slightly second  and third-order Jason I think if we say sure that disease is just gonna be a [ __ ] mental quagmire  we're gonna jump out the window yeah okay let's let's talk about something that Mark Cuban said  which I really agree with which is that if we're

54:16

gonna do bailouts they can't come where we also  do things like you know allowing these companies to do buybacks where a CEO pay isn't curtailed you  know it turns out that the airline industry which looks like is gonna be first in line for a bailout  spent ninety six cents of every single dollar free

54:32

cash flow they had on buying back stock which is  only used to drive up earnings per share which is only relevant for CEO pay so they have you know  they don't have the cash buffer they don't have the thirty six months of operating you know window  that you know everybody should have their anomaly on trying to hit they blew it on trying to have  their earnings per share go up by reducing the

54:57

number of shares in existence errors exactly  just so people understand if you can't if you can't earnings per share you know do you take  earnings you divide it by the number of shares so if earnings can't go up just divided by the  number of shares and earnings per share goes up lowering the number of shares yeah if you had a  million dollars from earnings a million shares

55:14

it was $1.00 per you get rid of half the shares  it now goes up and and so now you know you have CEO P go through the roof but these companies  are not any more resilient than they were before and so now they're in line for a bailout and  I think the a large caucus of people across files are very clear that these things need to be  wipeouts of the equity versus bailouts where you

55:38

know folks who took advantage of the financial  system here continue to get rewarded what do you guys think about that totally to me if you  wipe out the equity though just pausing for a second and taking the other side of the argument  I'm not saying this is the site I would take if you wipe out the equity would not some of the  people who would hit that pain are shareholders

55:59

from a retirement home or a retirement plan like  CalPERS maybe own tension funds yeah pension funds etc so you know it does seem like if you wipe  out the equity you could have some unintended consequences was eques holders but I think what  the other side of the argument is we're gonna have to have there be repercussions for people  running companies so close and recklessly to the

56:20

cliff and there has to be some pain not reward for  doing that and a bailout is a reward for operating your responsibly is that what you're saying Jamaa  yeah I I think that actually you have to wipe out the equity and I think the reason why wiping out  the equity is important is that it overwhelmingly

56:41

does not punish the you know retiree in their who  owns you know Boeing stock in their 401k Boeing has not been held by retirees in their full  run case for years as a cohort of impactful investors massive large institutional pools of  money on these companies these are the balance sheets of governments these are the balance sheets  of foundations these are the balance sheets of a

57:09

very few very very wealthy people and the reality  is that for the broad-based population for the 350 odd million Americans in the United States  how many of them do you think are really active market participants meaning for every dollar  of value creation or destruction how much do they actually see I would guess it's less than  10 percent meaning 90 cents of every dollar are

57:35

nameless faceless organizations in a financial  infrastructure I think the lesson we have to we have to we have to tell and the place we have to  move to is one of compassion of capitalism which is that we have been so hell-bent on the use of  leverage on the use of these financial gimmicks

57:54

on the use of accounting tricks to enrich a  few at the sake of the many and this is the right time where you should nationalize some  of these businesses and when they eventually do get taken back out and floated publicly all of  those proceeds should go back to the United States Treasury who should then use it to reinforce  Social Security and Medicare and everything

58:16

else because we are going to run a Multi multi  trillion dollar budget deficit to get out of this and to just give people some context here that  the u.s. national debt is at 23 trillion dollars which is seventy two thousand dollars per citizen  and one hundred eighty nine thousand dollars for each citizen who pays taxes and we've run our  spending our D budget deficit is ability is a

58:43

trillion dollars a year we're gonna talk about  here I think a two to three trillion dollar stimulus package which will increase the national  debt load by only ten percent so it does seem like we can manage that but boy was this a strategic  mistake for us to run up a day during good times was it not it's it's it's even simpler than this  like and and I hate to say this so bluntly but

59:07

this eurozone is gonna collapse okay Japan is  finished so there are two economies that matter there's China and the United States as of today  and the great thing about that is in a set of two there's only one instrument of safety which is the  United States dollar thank God in that world the

59:30

United States has exceptional leverage exceptional  exceptional leverage it is and it has always been you know the beacon the light on the hill etc now  in a moment like this the United States has the most ability to reset how we think about things it  could run five trillion dollar deficits tomorrow it could run ten trillion dollar deficits because  it is still the backstop I'm not advocating for

59:57

that but this is where I think you need bold  decisive action and not piecemeal strategies I don't think a trillion dollars is enough I really  think that if you think about what the eurozone will have to do and what's gonna happen to the  US dollar we should be basically saying right off the bat at a minimum anyone who makes less  than you know pick your number a million dollars

1:00:17

a year every man woman and child every or every  eighteen-year-old American man and woman should immediately get five thousand dollars forget one  thousand two thousand five thousand and next month if we're still out of business five thousand and  all of that does is just it's a trillion dollars it's two trillion dollars over two months and  then you add another trillion dollars in all

1:00:38

this you know small business loans and all the  other things that's three trillion dollars that you can deal with because we're the United  States and I think it's really important to keep it in mind I know that sounds crazy well I  mean um people don't think oh you know blah blah blah you know budgets and deficits but it's not  because everybody else is just as [ __ ] if not

1:00:56

more [ __ ] well let me give you it let me give  you an another perspective the GDP of the United States is twenty trillion dollars roughly every  MutS assume the whole economy shuts down every month that were shut down costs us 1.5 trillion  dollars so if we're gonna have the country shut

1:01:15

down for say three months we're losing four and  a half trillion dollars right there the problem is economic growth of the economy is actually a  first-order function right so the the movement of cash drives the the future economy and so  if we were just needing to fill that hole you would need to come up with a couple of trillion  dollars and you would have the government going

1:01:39

out and buying ice cream cones and paying Hair  Salons and paying for dog walkers and you know paying for construction workers and paying for oil  rig workers and basically basically employing and buying all of those goods and services for that  functional equivalent of a twenty trillion dollar

1:01:54

GDP that's what it would take to just fill the  hole well that's if you're assuming no economic activity I mean we we don't think there's gonna  there's going to be no economic continue with maybe let's say it's a third less act economic  education in the shoe guys the shoe that hasn't dropped is this idea that everybody is at home  working nobody's at home working that's a joke

1:02:15

that's a lie okay because as David said companies  are not you know self-contained units very few are many of them and most of them operate in a  very interconnected socially dependent way with other companies they're your customers you are  their customers nobody is doing anything right now there's nobody there's nobody evaluating the  next great SAS tool guys come on and the other

1:02:41

issue is just it's just leverage Jason right  so we've also got to remember that a big chunk of the economy is levered meaning that there's  debt and debt payments that need to be paid and so those income streams are now gonna be absent  and so there's there's a there's a multiplier effect when revenue goes down the economic impact  is actually multiplied and so you can't just fill

1:03:03

the hole so and so it becomes a very complicated  nonlinear kind of system that you have to try and fill the holes and you got to find the places  where cash is missing and it's not moving the fastest and that's where you got to throw the  money in the first like these repo markets and so on well and there's no doubt that the we all  agree bottom-up is the way to do this so if we

1:03:19

have three hundred thirty million Americans if you  just have the bottom half get a thousand dollars a month that's call it a hundred sixty billion  dollars a month it's only over the year two trillion dollars so if we just did that it gave  everybody a thousand dollars a month that's twelve thousand dollars for the bottom half they're not  saving that money they're gonna use it to still

1:03:34

go to spend it in the market correct they're gonna  pay their rat they're gonna go get dinner I don't think so where people are gonna who are laid off  right now are gonna save the money well if you gave me $1,000 or you know somebody $1,000 when  they're in their house on the sixth week of their

1:03:49

home confinement what what you think they're I'm  assuming that we're in week ten and we're we're not in stuff confinement anymore we agreed in the  first third of the program that we're gonna get there in whatever it is 60 days 90 days yeah you  know what I realized after wearing the same pair of jeans four days in a row I have too many jeans  that's what I've realized and you know what I've

1:04:12

also realized that the cotton shirts that I buy  from H&M are [ __ ] perfect and I've complicated in my life with all kinds of [ __ ] that I've  been buying because I thought it meant something and right now it means absolutely jack [ __ ]  yeah I'd agree I'd agree with that perspective that's what's really interesting when you see your  entire portfolio collapse when you see this belt

1:04:36

tightening it's happening even amongst and we have  you know what all three of us are lucky enough to be at the you know in the top of our careers on  top of our income at this point in our lives but we all came from humble beginnings as well and  if if the people at the top are belt-tightening

1:04:51

and saying you know what I don't need to buy  a $60 t-shirt I'm gonna buy a sixteen dollar t-shirt boy does that have ramifications across  the entire economy and this reminds me very much of the recession they say as luxury goods would  never rebound and sure enough the last ten years luxury rebound luxury has rebounded massively  because it was not a psychological broad-based

1:05:12

impact to people's philosophy and framing of how  they viewed the world you think so I thought after the economic crisis last time people did say  there would never be people specifically said there would never be luxury goods again and that  these young people buying a condition I'm not talking about some prognosticating analysts you  know the analyst is only is you know good as their

1:05:32

own biases what I'm saying is the average person  didn't really have to internalize a broad-based impact to their way in which they view what's  important in their life this touches everybody and I think that there is an opportunity for us  to really recalibrate what's important I think conspicuous consumption is unimportant you know  helping each other is important taking you know

1:06:03

unnecessary vacations because it drives your  Instagram follower feed is [ __ ] stupid making sure that we can contribute the incremental dollar  we have so that other people could get tested and get back to work that seems like a better use of  your money in time yeah so no go ahead David good

1:06:22

enough I think that there yeah there's just great  perspective setting that that's that's happening that and is gonna happen broadly across the  economy we've been fat and happy for a long time and at least a sub-segment of the population  has been but we also have it really really well really good here in the United States there's a  website I just recommend everyone check out and

1:06:46

spend some time on it's called Dollar Street and  you can go to gapminder.org slash dollar - Street and check out the the website it is unbelievable  and it is probably my favorite website on the internet and Dollar Street is a project of Ola  Rose Ling's wife all as the son of Hans Rosling that the great visual economist who told people's  stories with visuals unlike the world and income

1:07:09

and population and growth and so on and she went  around and she photographed families all over the world and showed how much money they make each  month and then showed all these common household activities and goods brushing your teeth the oven  how do you what kind of clothes you have what in

1:07:24

your closet look like what do you sleep on and  it's pretty striking that half of the people don't have a toothbrush a quarter of people use mud off  the floor to brush their teeth most people don't have a bed on planet earth right only the top 1%  have a kitchen right I mean there's like these amazing statistics with photos that really help  kind of illustrate this point and I think that

1:07:44

I'm not saying that the extreme demonstration of  humanity and the distribution of wealth income and prosperity and humanity is as relevant here but  in all these photos everyone's very happy and they live a happy life and there's a great reset happen  that that's happening that's underway happiness eventually finds itself when the Delta goes from  being negative to being positive again when the

1:08:06

Delta is flat or the Delta is negative people are  getting into a worse condition things are bad so we're gonna bottom out here and then we're gonna  you know no matter what state we find ourselves in we'll very quickly find ourselves back in a state  of happiness and we'll all reset with respect to Jamal's point on hey maybe I don't need all  these genes maybe I don't need all this and

1:08:23

this and this but there's certainly like critical  you know needs that people have and it's gonna be pretty apparent pretty quickly you know how the  economy and people are gonna adjust to this this new world but there's gonna be a judgement the  part of this that I think is actually constructive

1:08:40

is I do think that we're gonna swing the pendulum  back towards nationalized economies and and away from global economies because I think this is a  way that politicians all around the world they'll characterize it in different political language  you know some people will call it you know sort of like American exceptionalism if here on the  right if you're on the Left you'll describe it

1:09:04

in much more social terms but they all lead to the  same outcome which is that what we have seen is that in the push to globalization we have created  too much brittle infrastructure that doesn't work and that we are not resilient enough men we are  hyper efficient and we are just in time and all of that is great and everything is super cheap  but when we really need infrastructure to work

1:09:30

whether it's tests or whether it's the government  or what-have-you it just doesn't and I think resiliency will force us to be more nationally  attuned and I think it'll be the right thing it'll cause all governments to think about their own  food supply differently to think about their own supply chains differently it'll demand companies  to be less profitable if it means that they can

1:09:50

withstand these kinds of shocks and it's one thing  to say that we could never have modeled you know sort of like this two or three sigma event we're  dealing with but after the fact it's no longer a two or three sigma event and governments have  to now internalize this and companies have to internalize it we are not going to act the same  well just will be different look think about the

1:10:11

iPhone and obviously medicine and respirators  we've been talking about these things over the last you know couple of weeks as this happens  we if if we do have a breakdown in relations with China if we let's say we stop importing stuff  what would happen to Apple the most powerful and valuable company how would they ever be able to  make iPhones again in the United States are they

1:10:34

capable of making them now it depends it depends  on who you're answering it for on behalf of the u.s. customer Apple should probably be forced to  bring a lot of their production capacity back into the United States they should find a diversified  global supply chain so that you have multiple

1:10:49

suppliers in many countries in the world but  they should rely more on America it will be less profitable but it'll be okay and it's the right  thing yeah it's a hundred dollars what I read in the estimates was an iPhone would cost a hundred  or a hundred and change more to make in the United States but if they did they wouldn't away have  this imagination they make 5 600 oz per my phone

1:11:09

anyway well by the way the real outcome is that  you know and we were gonna do this anyways after this which is I don't think people are lining  up to buy you know kind of irrelevant products anymore in a way where we are just slavish to  things I mean I think it's important to ask ourselves like this is probably the most socially  impactful world event the globe has had to deal

1:11:33

with since World War two and it's probably really  important to talk to somebody you know and if you don't know you can document and you can easily  find the documents of people who survived the Holocaust or lived through the bombings in London  etc their mentality was different as a result of it it changed their behavior in very positive  ways right it was like the great advances in

1:11:57

humanity happened after that would get refocused  yeah you're less focused on things that are not core or critically important and Freiberg what do  you think about that what this is showing in the healthcare system and the holes in the healthcare  system the fact that we couldn't mobilize to deal

1:12:19

with this after we did scenario planning about  this after SARS we've done scenario planning we've had you know I sent to our group list the  link of Bill Gates talking about this four or five years ago and how this would be an issue I  sent a couple of links to people writing about closing the wet markets in China after the SARS  outbreak I'm curious David what you'd think the

1:12:43

holes in the healthcare system are that need to  be fixed and what we can learn from this because I think we're now coming into the you know as  we as we got through the virus we got through the economic second-order effects let's talk  about positively what we're gonna learn because I think that's what's getting at is that there's  a personal recalibrating of what matters maybe

1:13:02

morality ethics focus in our lives David what  can we learn from this on a health perspective what should we do when this ends there's no easy  answer to that right nationalized health care systems in some countries you could say they're  great my brother my family lives in London I was my brother yesterday and you know they tried to  go down and get tested for a a tooth infection

1:13:27

yesterday and like it's just brutal dealing with  NHS in the UK you know people aren't telling great stories about NHS and they're not saying oh my god  it's the best health system I love it health care is hard people want personalized care they want  a lot of attention there's only so many doctors

1:13:43

there's only so much beds when you start giving  people good care costs a lot solving this stuff and and the R&D dollars required to enter markets  is so you know so extraordinarily high you end up charging a lot for products and services on  the back end it's a very complicated system and there's no simple answer I do think that we're  learning and realizing pretty quickly that the US

1:14:03

and we're gonna we're gonna do some post-mortems  on this obviously as a world as a society one thing that's clear is the Chinese response in part  was driven by a lack of bureaucratic red tape and an ability to manifest action and an ability  to produce and distribute drugs and produce and distribute tests without needing approvals I  think that's something that's gonna change in the

1:14:25

United States it has to be regulatory burden  on health care companies and pharmaceutical companies on testing and Diagnostics companies  is extraordinarily high but the objective in the United States has been do no harm which means  don't let anyone die through the action but it may be that many people are dying through the  inaction and I think we're gonna maybe see a

1:14:45

big shift in policy and allow right to try laws  that are gonna be federalized so you know States can make decisions about right to try laws and  doctors and patients can try drugs on their own discretion without having a federal oversight body  perhaps the same will happen with Diagnostics and testing and you know that with respect to what  the what services the government provides and

1:15:06

doesn't provide you know I I'm not sure there's a  lot of data on either side here that nationalized health care systems do and don't work so it's  it's very hard to say what the right solution is is here you know and I don't think that you want  to try and take R&D and put it in the government I

1:15:22

think that's a terrible idea I think that there's  a financial and a capitalistic motivation to find discover molecules get them tested and proved that  they have a positive effect in human health and we need to move this toward personalized medicine  which actually changes the construct and probably

1:15:37

increases the cost of doing this about 10x we're  already seeing this with stem cell therapies and CRISPR based gene therapies is they're so much  more expensive in order to get that stuff moving faster we need to remove the regulatory burden  and allow companies the ability to move quickly and make this stuff more affordable the more we  the more barriers we put in front of companies

1:15:55

the harder is going to be and if we try to do  this with a top-down approach with the government deciding what did you are and beyond and what not  to do R&D on we're gonna be in a [ __ ] mess so it knows that some of my points yeah I would say as  well I think that there has to be you know after the great financial crisis we we smartened  up about what the banks were allowed to do

1:16:16

unfortunately we didn't really smarten up about  what other financial participants were allowed to do and a lot of what we're seeing here is our  excesses around leverage and credit and I think we need to fix those we need to tell companies that  you know you can't put out certain amounts of debt we need to be a little draconian actually to reset  this properly we need to tell you know market

1:16:42

participants that you can't run 10 or 13 times  levered you can't take a hundred billion dollars and make it act like 1.3 trillion and then blow  a 50% hole in it you just you're just not allowed to do that I'm just sorry but nobody should be  allowed to do that okay so if we look now on to

1:17:03

politics which is the least fun to talk about in  many ways but just on international relations I think it's worth discussing there's been a bit  of a debate about what we call this virus and the relationship between the United States and  China China went on a little bit of a propaganda campaign in the last couple days saying the u.s.  that the u.s. created the virus Trump has now been

1:17:27

trolling them actively talking about the Chinese  virus I used the other day the one hand virus I didn't realize that that people consider that  racist to say woman virus because we called it the Spanish flu we called it the German measles  but I guess people are particularly sensitive to this topic now and I think there's a critical  issue here that I don't understand why we're not

1:17:47

talking about this but wet markets specifically  trade in exotic animals the these viruses are contained in certain animals like bats which are  you know together in flocks of like thousands and the viruses and then these animals in wet markets  people don't know what that is you can you can google it if you've got if you're not squeamish  but essentially in Chinese culture as I've read

1:18:13

it in the Wall Street Journal and in the World  Health Organization's advisements to cancel and to shut down wet markets and there's you nana team  United Miss agreement on this and from the health officials that these have to be shut down the  Chinese culture says we don't want to see meat in a package because we believe it's counterfeit and  it's been frozen and then won't be as tasty and it

1:18:37

won't have the same nutritional properties so you  must slaughter the animal in front of us at least for some significant percentage of the population  there it's a tradition and this is where these viruses have uniformly been generated from and  now we have the President and China going at each

1:18:54

other and we have to have this very delicate  conversation I think David and I'm curious as to your position on this because it's now hitting  like a ratio and you know in a and a bias against a certain culture is how this is being framed  by the left which is just maddening because it's

1:19:10

actually a culture it is a cultural issue that has  to end just like our cultural tradition of shaking hands obviously needs to end or be deprecated in  some severe way so David maybe you could talk a little bit about what you think the outcome here  is on a political basis in relation to those wet markets and China and us relationships look I  think China suffered heavily I'm sure they're

1:19:32

good I've heard they're gonna shut down the wet  markets but all I know is what I've read on the internet so you know I think they're [ __ ] awful  and stupid and they should be shut down cultural you know dependence aside there's another issue  in China apparently there's a huge amount of the

1:19:46

impoverished communities in China are encouraged  to actually grow and harvest rats I don't know if you guys are aware of this but there's a bamboo  rat business when you grow these rats inside of bamboo and then you kill them and you sell them  and so the the poorest people in China make money growing and selling rats rat meat and the Chinese  government just in the last week have told them

1:20:05

to stop which actually is a huge effect on many  millions of families who are growing these rats so there's an economic effect but it's obvious  that it's a terrible health effect but I'm not sure that getting rid of the wet markets truly  eliminates or Radek AIT's the risk of a new viral outbreak right like I think I mentioned to you  guys on our text stream the other day you know

1:20:24

40% of the bacteria in the oceans are killed every  day by viruses this is a great stat that Jennifer Doudna uses in her book that on the discovery  of CRISPR and there's 10 to the 28 bacteria in the oceans so half of them they all get killed  every other day every two days by viruses there are viruses everywhere they are going to emerge  they're gonna hit us the issue isn't necessarily

1:20:48

where the source of the virus is coming from  it's just that we have to have better testing and diagnostics and preparedness and treatment plans  and an ability to motivate and mobilize ourselves to address pandemics like this in the future with  respect to the relationship with China I'm not an

1:21:01

economist I'm not a trade guy I don't really know  the nature of the relationships though I'll leave that my might know my thought my thought on this  is that this is not a question of you know what markets are no wet markets I think this is a  question of if you are a an anchor participant of globalization in a global economy is there an  expectation to have a common set of behaviors the

1:21:28

lowest common denominator set of behaviors and  high genes that everybody signs up for to be a you know fully fledged global market participant  now the the pros of that is that maybe everybody decides to be a participant and to have lacks  borders and you know free trade agreements that there can be no wet markets and a whole host of  other things we all agree on you know whether

1:21:52

we are ok with shaking hands or maybe it's  namaste from now on or maybe it's bowing the problem with that on the other side is that all  of a sudden you create a monoculture that strips away the individuality and the richness of every  country and you know I I kind of think like like you know we could have attacked wet markets when  HIV started to spread because it was you know as

1:22:17

we understand it it was the emergence of the you  know bush meat and raw bush meat and the killing of monkeys that had this virus that was then  passed to humans etc etc that started the HIV epidemic so these things have happened before and  it's not as if we shut down you know all of those

1:22:34

markets in Africa they still exist in some form or  fashion and as David said there are huge economic ramifications to to having these cultural edicts  and it's very difficult I think for an American to demand China to do it when we're not willing to  step up just like in other ways you know countries can demand us to lower our carbon emissions  and we say we're not going to do it so there

1:22:56

are implications and very difficult issues all  over the place but I do think in general that if we move towards a more nationalistic economic  dependency interdependency I think that it's probably the right thing to allow more resilience  to exist and for cultural diversity to continue to compound because the world of just-in-time  efficiency I think we're learning now was

1:23:35

the wrong optimization for the world we need to  optimize for resiliency and that means some amount of inefficiency it means more mom-and-pop shops  I think that that's a good thing it doesn't mean everything is Amazon Prime now and Walmart I think  that's ok it means that the iPhone is a little bit more expensive which means you upgrade every other  year that's ok it means that companies like Google

1:24:02

and Facebook and others are less profitable in the  short term that's also ok all of these things are ok we just need to decide and now we need to  move forward mm-hmm when do we what's our best estimate of when people will be allowed to go to  a restaurant I think it's you know again getting back to what the people listening to this podcast  probably care about most as we wrap up here in the

1:24:25

in the second hour and thank you for tuning into  the all in pod Freiburg is with us from what's the name of your incubator again David that production  board the production board previously met Romano climate dot-com and shabbath property of social  capital partnership when do we suspect people

1:24:46

will be allowed to go back to work in the Bay  Area in New York when will people be able to go and have a meal in a restaurant do you think this  is May June or July or August when will maybe at equality of you I'm going crazy I'll give you my  optimistic you know and then we can give the final word to David here's my optimistic view please I  think that the emerging evidence will soon be hard

1:25:15

to ignore that we have a denominator problem which  means that we're not testing enough and that these IgG and IgM tests will come online at scale in the  next two weeks and that we will establish DMARDs zones within cities and towns green zones if you  will where people who are either negative or who

1:25:36

have already gotten it have tested positive for  the antibodies will be allowed to interact so I am telling you that it's within six weeks from now  six weeks from now we'll be in restaurants and we may have to show our papers to somebody to get in  or have our foreheads tested no no your Jews have

1:25:55

to show your test result and have your passport  or driver's license yeah I mean I know this sounds crazy I would much rather go to a restaurant in  the next six weeks where I had to show my papers a little bit draconian sounds a little dystopian I  would much rather go back to taisho couldn't have my goddamn ramen would show my papers and know  everybody else did and then have everybody go

1:26:15

through the you know a very simple temperature  test on their forehead like I give to my kids when they're sick David you taking me over where  the under at six weeks for when we'll all be at taisho can have me ramen I'm taking the under I'm  taking April 7th or 8th April 7th or 8th and we're recording this I think on the 17th or the 18th  I think and so you're saying we're just gonna

1:26:39

be whatever 20 days out I - I'm taking the under  but apparently I think it's uh neighbor four or five weeks David explained the under case just so  and we can end on that but what's the under case because that's a great note den done yes so as  we see the number if you look at the UW virology website and I've shared this with people on my  Twitter account which I started doing yesterday

1:26:58

which is at freezing have Friedberg I'm not sure  I'm gonna stick with it I don't know if I have the stomach for it like you guys do but basically  they're showing you know steady case loads of positives per day which again is delayed and if  you look at the ICU availability in the emergency room wait time data which I think are better  leading indicators of where we are in the cycle

1:27:19

New York is about two weeks behind us New York  is gonna be [ __ ] for a little while but I do think that the West Coast and with some travel  restrictions is going to be able to reopen for business probably around April 7th or 8th because  we're gonna see a dramatic decline at that point and we're gonna see a lower fatality rate than  everyone's predicting and we're gonna start to

1:27:37

have measures around washing your hands and masks  because you can't keep station shut down for that long without literally never being able to open  again so I'm kind of balancing the economic need against what I think the data is starting to show  that hopefully we are seeing the second derivative

1:27:54

turning negative now and so we start to see a  slowdown in new cases and then we see a reduction in cases and I think that you know there's a  huge distribution and what that model can tell you but I feel really good about Ghana April 7th  or 8th I was getting enough confidence there ok it's safe to go outside again and by the way if we  don't open up for [ __ ] business everyone's done

1:28:15

forever alright that's what that's where I get  the number and most importantly when do we feel comfortable playing cards again in person because  I'm I'm starting to think that I want any other sounds crazy but at this point if the three of us  were positive and we'd gotten through it already I

1:28:32

would like to know that I think the entire poker  group needs to get tested and the best possible scenario is that we're all inoculated we're not  carriers anymore what blockers in the system and we can get back to playing cards because I am  and I'm being a little facetious here but the chances are we might all have it right I mean it's  it's a possibility it I am going bonkers being at

1:28:52

home I am not designed for social isolation I'm  going crazy Tomas do you like it yeah I mean I'm a pretty isolated person as a matter of course  anyway so other than work and you know my doing this or TV I'm always at home yeah and but the  one thing that I cannot live without is Monday pokers and I'll really tell you why it's like  in a moment like this here's here's what I've

1:29:19

realized I've realized just how much extraneous  stuff I have in my life how much I don't need it how much I paid my time with things that are  just not important and it's really allowed me to clarify like you know working on the next deal  not important thinking about my status in society not important thinking about what other people  think of me not important my health important

1:29:46

my family and their health important and my  friends I love my friends yeah and we're very blessed I I mean I I love the both of you that  group saved me in some really tough moments in my life yeah and I hate not seeing you guys and  being able to you know just touch and feel you on once a week it's that to me is brutal just to  be clear this is a group when we define touching

1:30:15

and feeling it we're talking about Kovach's love  it's fine we make man love and make man love over the poker table and that's how men commune is  by just shifting large amounts of money across the table I miss you guys too I'm going crazy  I'm not gonna be high I don't think like you're gonna see me after this said and done I can't  take seriously buying things I just think it's

1:30:36

like what the [ __ ] is the point yeah I really  take seriously that we need to fix the social infrastructure of the United States and in part  do or do what we can to help as many people as possible right they had folks Jamaa Friedberg 2024  hey Dave free Bob you both thanks a lot for doing

1:30:54

this Jamar thanks a lot for doing this follow at  your mouth follow at Freiberg if you want to help out the podcast well there's no ads to click on  because Tamar wants me to go broke on this no ads but I will say if you write us a five-star review  on iTunes I guess that means we'll get indexed and follow Friedberg follow our mouths follow  out Jason we'll see you all next time bye bye