303 karma · joined November 8, 2019
Amazon’s GoodRX-style discount cards gets around this by basically charging a spread over the reimbursement and kicking back some portion of the spread to the PBMs. By making the price an “Automated Discount” to some number between the U&C price and the reimbursement price, Amazon can charge less without impacting their reimbursement rates while paying the PBMs off.
This is a huge simplification of the US’s broken pharmaceutical system, obviously. One example of the nuances here is that Amazon is probably not able to set the price of the discounted drug.
Some reading: https://www.drugchannels.net/2020/08/how-goodrx-profits-from...
Great typing, like great documentation or great design, helps with debugging - but that’s not the main goal.
I think the biggest difference is that kids without family money don’t have the option to coast.
2. CLOs are definitely problematic, but the current rate of default is vastly overstated. If private credit defaults at the rate people seem to think it does, we'd be looking at a GFC-type situation. I can't say if there's systematic risk in CLOs a la MBS, but any possible risk hasn't materialized yet. The biggest PE firms today rarely default. Blow-ups such as Toys-R-Us are newsworthy for a reason.
See my comment below for more information. I'm not in PE, but I am very familiar with how the sausage is made.
Political appointees are not the ones making investment decisions. At most they are setting very broad themes. For example, political appointees are the ones that say all investments must be carbon-neutral.
PE as an investment strategy was pioneered by KKR in the 60's, beginning with the acquisition of family-owned businesses facing succession issues. The strategy exists because there's really poor liquidity for private companies. If you're a founder who wants to sell your stake, you either:
1. Sell to a strategic buyer
2. Sell to an individual
3. IPO
4. Sell to PE
The first three options may not be always viable at a given point in time (aka illiquidity). Strategic buyers aren't always looking to buy, an individual may not have enough capital, and IPOs place a huge amount of reporting burden on a company. PE is the only reasonable exit option for a huge swath of private companies. Take a hypothetical family-owned supermarket chain with 10 locations across 3 cities in the midwest. All the kids are terrible successors. Who's going to buy it? 1. A strategic buyer, such as Walmart, may not be interested right now.
2. An individual probably doesn't have enough enough money to buy the whole thing
3. An IPO saddles the business with reporting requirements that simply don't make sense for a supermarket with only 10 locations
People sell to PE because it's often the only way to exit. Almost all bootstrapped companies belong in this category. At the end of the day, PE funds are simply groups of professional investors that specialize in buying out companies. If they are poor investors or poor operators, they will tank the company. If they are good investors and good operators, they will sell the firm for a profit in the future.--------
> When PE loads up a firm with supposedly unsustainable billions of debt, someone is on the other side of that transaction, lending the billions. Who does that and why? Are they perpetual suckers, unaware of the decades of experience we have doing this?
Many people offer debt, from private credit funds such as Golub Capital to bank syndicates. The best lenders are not suckers and the best PE funds almost never default. Oftentimes, the PE fund itself is collateral. PE funds that regularly default will have a difficult time finding a lender.
People also misunderstand the purpose of debt. It's simple math:
You want to buy a company for $100M. You can buy the entire thing with cash and sell it again after it doubles in 5 years, netting yourself $100M, giving you a 1x return.
Alternatively, you can pay $20M down and borrow $80M at a 10% interest rate (simple interest for ease of calculation). When you sell it for $200M in 5 years, you net $200M - $20M - $80M * 1.5 = $60M, giving you a 3x return.
Obviously, you've also increased the risk - your business must be capable of paying off an extra $8M a year in interest.
1. PE investors tend to be VERY financially savvy, but sell to less skilled investors. If they see that they have the chance to sell one of their assets at a great price, they don't have any issue with anyone holding the bag. There were at least a few IPOs/SPACs that left the (relatively less-savvy) public holding the bag.
2. PE investors tend to be be finance-minded, not operations-focused. That means that their planned optimizations think about the financial health of a company, not the "real" health. Culture can suffer because of this, for example.
3. PE is very interest rate dependent, and low interest rates / bad investors can (and probably did) make the tech bubble worse.
At its best, it’s bringing in experienced operators and maturing a company into something that is stable, before selling it to an acquirer or IPO.
At its worst, it’s saddling a weak business with debt, hiring terrible execs, and making unsustainable cost cuts to stave off an implosion.
The strategy matters a lot. Some funds specialize in “distressed assets”, for example and are very good at carving up dying company and selling it for parts.
1) Create an team to internally sell it
2) Make it an ultimatum, and fire people if they don’t agree
3) Hope your marketing is good enough that you get grassroots adoption
Option 1 is a waste of money - your best sales folks should be making money, not doing internal processes. Option 2 is terrible for moral and retention. Option 3 is ineffective. I’m sure Zuck would have loved to have the whole company on the metaverse if he could.
It is useful context, however, just as studying Socrates is useful context for understanding Western thought.
Most perfumes aren't even naturally sexy smells. It's not like people are pumping pheromones in the air.
Everyone likes looking attractive. Just because a guy works out doesn't means that he's ready for quickie in the bathroom.
IME, women are all too familiar with the challenges of working in a male-dominated workplace, but ultimately just want to pursue a career they enjoy. The “right” decision is to respect that drive and not to infantilize them by making decisions on their behalf.
Scale back and just plan for a release in 2-4 weeks. Ignore everything else outside of what you can get done in that time frame. Drop the consideration of things like the domain and the name. Fight the urge to play with fancy scaffolding that eats productivity. Once you’ve launched, you’ll have a foundation to iterate on.
Release early, release often.
In an offline-first experience, you need to be very careful that you treat everything like a source of truth. You also need to deal with schema migrations and business logic migrations, since you need those to partially live on the client.
Many foods comes from cultural cross-pollination.
You can get totally socialized profits at one place and totally performance-based at another.
Whoa! FRB has wealthy customers. US average cash in savings accounts is $41,600.
And this is pure cash too - not total net worth.