The Prof G Pod with Scott Galloway - Put Your Bias Down
Episode Date: August 27, 2020Scott discusses the Dow removing Exxon Mobil, Pfizer, and Raytheon Technologies from the index and why the Dow gives us cold comfort. He also answers listener questions about Spotify going vertical, a...dding a technical co-founder to your software startup, and generating customer stickiness. Then, Dr. Mehmet Oz, cardiothoracic surgeon and Emmy Award-winning host of The Dr. Oz Show, discuss COVID-19 with Scott. Dr. Oz gives us his view on where countries got it right and wrong in handling the pandemic and what to think about in terms of reopening schools. We also learn about Dr. Oz’s media career and what’s next on his agenda. Please take our quick survey to tell us how we can improve The Prof G Show: https://forms.gle/xVRfqCKrrNr9xzor5 Learn more about your ad choices. Visit podcastchoices.com/adchoices
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Episode 24, 24 hours in a day.
24, an overrated series with Kepler Sutherland,
not a leading man, his father, Donald Sutherland,
now there's an actor.
When I was 24, I had just finished
my two-year analyst program at Morgan Stanley,
moved back in with my mom,
did not know what the dog was gonna do.
Let's be 24 again, move in with the dog.
We're talking shepherd's pie on Sunday nights,
doing your laundry on unconditional love. Episode nights, doing your laundry, and unconditional love.
Episode 24. Go, go, go!
Welcome to the 24th episode of the Prof G Show. In today's episode, we speak with Dr. Mehmet Oz,
the renowned cardiothoracic transplant surgeon and Emmy award-winning host of The Dr. Oz Show. Dr. Oz discusses the state of play
concerning COVID-19, how we should be thinking about the reopening of schools, and which
countries got it wrong and got it right as it relates to COVID-19. What's happening this week?
The Republican National Convention. Let's talk about the strategies of each of the party's
conventions. The Democrats are basically saying, don't be afraid of us here. John Kasich, he's a Republican
and he likes this. Senator Jones, a moderate, their attempt to pull off the mother of all
pivots to the center to say, don't be scared of us. And then the RNC was, you should be very
scared of them. They're a bunch of lesbian tech journalists who own Subarus and independent
bookstores and they're coming for your money and they're coming for your money, and they're coming for your future,
and we're going to have bedlam and looting in every suburb. It was very much, this is coming
down to a battle of the ages, and it's pretty straightforward. The Republican Party has a
two-pronged strategy. The positioning is we are the white patriarchy. And to be fair,
there are a lot of people, including women in this country, who believe that the white patriarchy. And to be fair, there are a lot of people, including women in this country,
who believe that the white patriarchy works. And that if you look at history, there's a reason why
the white patriarchy has been the kind of the dominant force in some of the most productive
countries in history. Now, whether that's right or wrong, let's be honest, that's wrong, but that
is their positioning. Hold on to the white patriarchy and to their tactic. That's their strategy and positioning and their tactic
They're outwardly saying we're gonna suppress the vote. Whereas the Democrats are saying hey, we're just not that scary. We're moderates
It's a bigger tent and they're basically making a referendum on Trump that this just is whatever we are
We're just not Trump. We're the lesser the lesser evil if you will
I thought both did a pretty good job leveraging
the mediums. I don't think we're ever going back to stadiums full of whack jobs and the red,
white, and blue hats and pins. The DNC and RNC conventions, I think, are pulling the world
forward again 10 years. We're going to see a lot of changes around remote. What else did we have
this week? Wall Street Journal had a fascinating article saying that we are having a K-shaped recovery. That's one of those things I wish I'd
thought of, K-shaped recovery. A K-shaped recovery is essentially the markets are hitting all-time
highs as hundreds of thousands of people are still without. Now, what's happening here? We
have a weird dynamic, the best of the best, the companies that consolidate, the companies that
have cash, the companies that have invested in automation, which our tax code favors because you're not payroll taxes. So not only is there an organic
move towards technology, it's artificially juiced by a tax policy where basically robots cost less
than humans. So we're incentivizing putting people out of work. If that sounds morally
corrupt and just stupid, trust your instincts. We also have lower tax rates on the wealthy, lower tax rates
on corporations. We've essentially decided to transfer trillions of dollars in wealth because
our nation has become a lot more productive. There's been a lot of prosperity. There's just
been no progress. And the shareholder class has boomed, which creates this upward cycle of the
top 10% who own 90% of the stocks. At the same time, we found that only 50%
of America could not survive a month without wages or add less than $400 in savings, but we never
tested those lows. We never found out how scary that would be as the tide never went out. Well,
what do you know? The tide has gone out and we have about a third of Americans who say they can't
pay their rent. Think about wealth work. Think about what's happened in terms
of the wealthy and the trickle down. And there was some trickle down, the masseuses, the people
serving you your food at that fancy Four Seasons, the person, the security guard or the janitor at
the office building you used to go to, a ton of services, middle and lower income wage jobs in
the middle of cities where wealthy people are commuting into work. Now what's happened? People
traveling less, people having less people in their homes, people not going
into the office, and we're having a destruction, a destruction of jobs across the most vulnerable.
10%, only 10% of people who make more than $100,000 have been laid off. It's 40% among
people who make less than $40,000. If you make more than $100,000, you're more than 60% likely to be able to work from home.
And only 10% of people who make less than $40,000 can work from home, meaning they put
themselves in harm's way as they lose money.
This is, we have woken up from some underlying unhealthy trends around income inequality,
and we've woken up in a dystopia.
Everything has been pulled forward 10 years. Moving on to happier things. The Dow is shaking up. What does this mean? Salesforce,
Amgen, and Honeywell International will replace ExxonMobil, Pfizer, and Raytheon Technologies.
And also, this comes after Apple's decision to enact a four-for-one stock split, which is great
for shareholders and investors, but reduces Apple's weight on the
index. Bloomberg reported that Apple holds 12% of the 30 stock index. This basically takes tech
from being 27% of the index to 20%. It's the equivalent of the Dow saying, okay,
we're going to take some profits off the table and diversify our portfolio, which all of us should
probably be doing, giving techs run up. What do we have here? We have companies that now account for an unhealthy portion of
these indices. Also speaking of unhealthy, these indices, what numbers are damaging?
What numbers are damaging? Do you know your PSA level? Do you know your cholesterol level?
These are damaging numbers or numbers you should keep tabs up. But what is the most damaging index? And that is the existence of this number hurts the world. Simple. The Dow.
The Dow gives us cold comfort. The Dow is at an all-time high and allows our leadership to lie
to us and say that America is doing okay. No, it's not. The Dow is nothing but a proxy on the wealth
of the top 10% who again see above 0.90% of the stock. Spoiler
alert, they're killing it. What would be better indices? What would be better indices, better
numbers? How about life expectancy? Down three years in a row for the first time until 2019,
and then it ticked up because it looked like we were getting our arms around or beginning to
address the opioid crisis where there are 50 or 60,000 unmarked graves, mostly of middle and lower income kids or young adults that no one gives a shit about.
That's right.
We were losing more people to opioid overdoses every year than died in the entire Vietnam conflict.
And then, boom, we started to address it last year for the first time.
Life expectancy began its upward march again, like every other country in the world. And then what's happened?
Opioid overdoses have skyrocketed in March, April, and May.
And we are going to see again a reduction in our life expectancy.
What the hell does it matter if your 401k is up if your kids or your neighbors or your
friends are dying from deaths of despair, which have skyrocketed?
And what's the problem? What's the
problem? There's too much death. I think it was Stalin who said, one death is a tragedy. Millions
of deaths is a statistic. That's where we are. I believe this administration would be guilty of
manslaughter if it was 10, 20, or 1,000 deaths from COVID-19 or the incompetence had led to
dozens of deaths. But because there are 175,000 deaths, we can't wrap our minds around that.
We begin to lose our empathy.
Empathy is strongest
when it's one or two people you know suffering.
The moment it becomes dozens or hundreds of thousands,
you end up in a country where 53% of a political party,
guess which one,
think the number of deaths so far is,
quote, acceptable, end quote.
You have your head up your ass, end quote, if you think
175,000 deaths is acceptable. Remember all the bullshit and concern and faux empathy around the
two people who died in Benghazi? Well, guess what? That's how many people were losing every four
minutes from the incompetent handling of COVID-19. One death is a tragedy. Millions of deaths is a statistic. Well, folks, we're moving
towards a statistic. We'll be right back. Support for this show comes from Constant Contact.
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The Capital Ideas Podcast now features a series hosted by Capital Group CEO, Mike Gitlin.
Through the words and experiences of investment professionals, you'll discover what differentiates
their investment approach, what learnings what differentiates their investment approach,
what learnings have shifted their career trajectories, and how do they find their next great idea. Invest 30 minutes in an episode today. Subscribe wherever you get your podcasts.
Published by Capital Client Group, Inc. Welcome back. It's time for Office Hours, the part of the show where I answer your questions
on business trends, big tech, career advice, and more. I'm not sure what more means here,
but anyways, if you'd like to submit a question, please email a voice recording to
officehours at section4.com.
First question.
Hey, Prof G.
My name is Sam, and I'm currently quarantining from Kansas City.
You've talked about Spotify pursuing vertical integration as a way to differentiate themselves from Apple Music.
It appears they're doing just that with acquisitions of Gimlet and Anchor, and more recently Spotify's $100 million deal with Joe Rogan. My question for you is if it makes sense for Spotify to backward integrate into music
content production. For example, acquiring Warner Music Group, which is a large music publisher and
record label. Spotify could prioritize new music releases on their platform or even make certain
music or music videos exclusive to Spotify, further differentiating
themselves from Apple Music. In total, Spotify and Apple Music represent a third of Warner's
revenue stream. Warner went public earlier this year and has a market cap of $15 billion versus
Spotify at $50 billion. I'm curious if you think a combination like this makes sense. Thanks.
Sam from Kansas City.
First off, I want to acknowledge that I know we're Kansas City, and it's obviously not
in Kansas.
It's in Georgia.
It's in Georgia.
And by the way, you don't sound like a Sam.
You sound like a David from Austin, Texas.
Anyways, anyways, let's talk a little bit about vertical integration.
Most of the companies that have added tens of billions of value, of stakeholder or shareholder value, have one thing in common, and that is they're vertical.
They both manufacture the product, distribute it, service it, retail it, et cetera, which kind of
blows out this initial notion of core competence. Try and describe what Apple's core competence is.
Anyway, Spotify should absolutely reverse engineer into content production. And they're doing this with the acquisition of Gimlet and the Joe Rogan deal. And you're exactly right. They're getting into the business of content all you can really do is get into curation or technology around assembling different playlists.
And I think Spotify does a better job of that.
But eventually Apple will catch up.
So then it becomes, all right, what proprietary content can you have?
And they're going after podcasting because proprietary content around rock and roll is much harder because it's a mature industry.
And, yeah, it makes sense to go buy Warner Brothers, but it doesn't when you look at the price. And the reason why Warner Brothers is able to garner a $15 billion market cap is that
they sell to a variety of different players. And if they all of a sudden went proprietary
to Spotify, you have a company they purchased for $15 billion that is maybe worth $2 or $3
billion because they give up 70% or 80% of their revenues if they're not selling it to everybody
else. And at the same time, would it be worth $13 billion that they would lose in value
to have proprietary content? Probably not. You could create a lot of your own content with $13
billion, but producing your own or creating your own music studio is a pretty difficult effort.
And most artists like the idea of going vertical or starting their own label,
see above what Jay-Z did, but it doesn't work because you have to be able to monetize it across
different platforms. The company that's managed to pull off this gangster hat trick was Disney,
that started pulling their content from other platforms and took a substantial financial hit
in the short run as they weren't selling to anybody, but just going vertical with their own
Disney platforms. Keep in mind, Disney though has about, I think about $150 billion market cap. So
they can do this, whereas Spotify doesn't have the firepower to start investing in and maintaining
their own music content. Now, podcasting they're doing, then the question is, the question is,
could they forward integrate? Could they forward integrate Sam from Kansas City? I think the gangster move here that makes sense from a strategic advantage standpoint and also from a valuation standpoint is I think, I think and I'm predicting here that Spotify should acquire Sonos. I think it's got about a one and a half billion dollar market capitalization. It's the device of choice and the homes of wealthy households,
which kind of set the tone for everyone else because we all want to pretend that we're wealthy.
But I think this would be kind of the sweat off their brow, a 3% dilution to forward integrate
into devices or hardware, or if you will, shoot a flare across the bow of Amazon and Apple who
control the rail. So yes, vertical integration is absolutely what Spotify needs to do.
They reverse integrate into some content,
probably podcasts and forward integrate
through the acquisition of Sonos.
Thank you, Sam from Kansas City, Georgia.
Next question.
Hey, Scott, David in Boston, Massachusetts here.
I've learned so much from the Prof G Show
and I've been a religious listener since May.
So keep up the great work.
I'm learning a lot from you. And now for my question. I've started talking about founding a business
with a good friend of mine who is also a former co-worker. We think our best startup idea is for
a software company. My friend manages the development and deployment of a software product,
but he's not a programmer and I'm a salesperson with limited technical skills. We're at the stage where we want to start developing our product, but we aren't sure
of who should build it.
Should we start a search for a third co-founder with a technical background, or should we
outsource our development until we've established product market fit, got a little revenue coming
in the door, and have a better sense of whether or not this business has legs?
What do you think, Prof?
Thanks.
David from Boston, thanks for the kind words, the generous words. So you answered your own
question. If you look at the majority of tech companies and software companies that have gone
on to be successful, the founder or at least one of the founding team is a tech guy or tech gal.
And that is someone who has a vision, someone who can stay up all night
and actually build things. It's the builders. The earth is not being inherited by the meek.
It's being inherited by the builders, not the branders, not the managers, not the biz dev guys.
It used to be the CEO was just a salesman. You have to be able to sell. But on your founding
team, if you want to raise money, you need a technologist on the founding team.
Are there exceptions?
Sure.
But the majority of tech startups now, the founder or part of the founding team can code
like no one's business.
So yeah, I think you answered your own question.
I think you need a third leg of the stool here.
And that stool has zeros and ones all over it.
Thanks very much.
David from Boston.
Next question.
Hi, Scott. This is Everett from San Diego speaking. Thanks very much, David from Boston. Next question. a company that could leverage their size and undercut DocuSign's prices with their Adobe Document Cloud.
What strategies can these software companies employ to generate customer stickiness?
Or will regulatory bodies have to step in to maintain equal levels of competition?
Thanks and have a great day.
Everett from San Diego, thanks very much.
So what can these do? these plucky, young, more innovative startups with better products do to fend off their big Darth Vader, corporate evil titans that will bundle the product, basically featurize their
product, and maybe even offer it for free, similar to what Internet Explorer did or Microsoft did
with Internet Explorer, and basically put Netscape out of business, which at the time was the fastest
growing company in America. And by featurizing a browser, basically put them out of business and bundling it with
their suite. There's not a lot they can do. What they can do is vote for leaders who actually have
the sack to embolden the DOJ and the FTC such that those regulatory bodies can find their voice and
their backbone again and be upholding our antitrust laws so microsoft is coming for slack
teams is a good product slack is a better product but there's a decent chance that microsoft could
put slack out of business there's also a very good chance that adobe could put docusign out
of business by just flicking a switch and saying okay document signature services are now free and
part of a broader package of Adobe suite of products.
I think in the short term, if they don't want to count on a feckless DOJ or FTC to step in,
obviously innovation is the answer everyone throws. Keep making the product awesome.
I think these companies probably need to pull a man by its dog. And that is, I would think that
over time, Slack should consider a merger or acquisition by Atlassian and take on,
try and become more like Microsoft Office before Microsoft Office becomes more like Slack. In sum,
put pressure on Washington, D.C. and regulators to do their goddamn job or to move upstream and
try and become Microsoft before Microsoft becomes us. Thanks for the question, Everett.
Keep sending in your questions.
Again, if you'd like to submit one,
please email a voice recording to officehours
at section4.com.
We'll be right back.
Hello, I'm Esther Perel, psychotherapist
and host of the podcast, Where Should We Begin,
which delves into the multiple layers of relationships,
mostly romantic. but in this special
series i focus on our relationships with our colleagues business partners and managers listen
in as i talk to co-workers facing their own challenges with one another and get the real
work done tune into housework a special series from Should We Begin, sponsored by Klaviyo.
Welcome back.
Here's our conversation with Dr. Mehmet Oz.
I met Mehmet and his wife, Lisa, in 1999. And I wanted to have Mehmet on the
show for a couple of reasons. One, he is a very thoughtful and famous doctor now, probably the
most famous doctor in the world, maybe with the exception of Dr. Fauci now. But I think Mehmet
has been unfairly cast as this conservative. I find our politics have become so polarized and our thinking, our slow thinking is, well,
are they a zero or one?
Are they red or blue state?
And the moment we decide if they're red or blue, the other 50% decides to hate that person.
And Mehmet has gone on Fox.
He's made some provocative, aggressive comments about reopening schools.
But I have found, and I'm not friends with Mehmet, but I'm friendly with him, that Dr.
Oz is a thoughtful guy.
And I think he's been unfairly cast as this kind of red state doctor.
That's just not the Mehmet Oz I know.
And I wanted to have Mehmet on because I think that there needs to be more oxygen given to people that require more
nuance and people whose viewpoint require more of our slow thinking, or specifically, I want to
support more raging moderates. The number of liberals who identify, or number of Democrats
who identify themselves as moderates has plummeted, while the number of people who identify themselves as liberal has skyrocketed.
Why? I think we're all very busy. I think we all get angry in social media platforms,
embarrass the other side by figuring out who we want to see embarrassed and plays on our
tribal instincts. But I think we need, for those of us who are from the center, and most Americans
are actually when you ask them about their political views in the center, I think we need
to be more thoughtful and give people a chance to provide a nuanced view. And I think
that's what we try to do here with Dr. Mehmet Oz. Anyways, our conversation with cardiothoracic
transplant surgeon Mehmet Oz. Dr. Oz, where does this pod find you?
I'm in New Jersey. I'm at home. We've got a studio in the basement, so it's made it a little
easier to keep up with the news. We've actually built it in the very beginning of this whole pandemic because my show is in China. So I had a pretty good insight into what might happen here. I never thought it would actually hit us the way it did, but we built the studio as a backup and it ended up being a wise move because we never had to shut down. Yeah. It's crazy how the world of
content has changed just in terms of the expectations have been lowered, which in some
ways makes life in some ways a little bit easier. Let's start very broad perspective. Give us your
sense of the state of play around the pandemic. How would you describe what is going on, surprises,
where you think we're making progress? Give us kind of the state of play, if you will.
So let me start off with the good news.
Cases are dropping across the nation.
There are some states that are still suffering, but the vast majority are headed in the right direction.
We have reduced the chance of you getting admitted to an intensive care unit if you're sick enough to go to the hospital in half. That's in part related to better protocols for managing patients and getting them
into the hospital in a timely fashion and recognizing weird things that happen with this
virus. Like your oxygenation drops to a level that you should be in a panic mode and you won't
even know it. It's called happy hypoxia, hypoxia meaning low oxygen. So these kinds of observations now have become
wildly enough appreciated that the Sunbelt States, for example, had significantly better outcomes
than where I am now in the New York, New Jersey area in terms of overall patient management and
mortality. We've got clinical trials showing that there are some medications, generally repurposed,
old, cheap medications like steroids that seem to help a lot because the common pathway that
the virus uses to kill us is often not specific to this virus, but a reaction to the body's
reaction to the virus, which is typical when we're fighting other viruses and other conditions as
well. So if you can avoid the overreaction of the immune system, the civil war that results in the
body when you have already killed the virus, but you don't realize it. So you start slaughtering or causing problems in your own cells,
then you can keep people alive. And we actually are making gargantuan headway on the vaccines.
There are dozens that are out there. I know that the business schools around the country are
looking at these different opportunities because some of these companies are going to do fantastically well. There are whole different business models used to allow the promising candidates to start
making product quickly, even before they've proven their vaccine works, so that if they do
actually show effectiveness and safety, we'll have the hundreds of millions of vaccines required
to allow success. So we'll know, I do believe by the end of this year that we've got
some really promising candidates. Certainly by the beginning of next year, 2021, we'll say,
okay, here are three vaccines that work. Some of them have never been made before,
like the mRNA vaccines. Others are traditional ways you make vaccines. Two-thirds of the
population will feel comfortable getting vaccinated. One-third probably won't,
but that's okay because we only need to get about 60% of the population will feel comfortable getting vaccinated. One-third probably won't, but that's okay because we only need to get about 60% of the population protected against COVID-19 to start enjoying a little bit of herd immunity.
And we can talk about where we are today even before the vaccine with that regard.
So that's all the good news.
Bad news.
We're dead last in the world pretty much.
Granted, our data is probably more honestly collected than in some countries, but we're
not doing so well, at least among the Western civilized countries.
I say civilized.
I mean, healthcare systems that are sophisticated enough that they could cope with it.
People have invested a lot of effort into healthcare in these countries.
So we should be doing better.
A lot of it's because of our public health infrastructure being not as strong, in some
ways rotted, because we haven't invested in it over
many years. And part of it's because as Americans, we don't like to be bossed around,
that's created some problems. So we got a lot more virus than we thought we'd have.
We have a scared population and we have scared leaders who are worried about making mistakes
and being held accountable for some very unpredictable outcomes from almost whatever they
do. And so we're really cautious in some places and not cautious enough in others. And everyone's
claiming they're doing it in a science-based way. But as a doctor, I'll say the science doesn't
actually help us as much as we would have hoped to exactly know what to do and what to say to
the average American. Yeah. There's so many variables here, right?
But I think of, okay, Germany lost 90 people, 90 COVID-related deaths last month. Last month,
we lost 18,000. When you look at Germany, when you look at South Korea, and it feels like,
okay, China, I understand there's a different political system, a different culture that lends itself more easily to a radical shutdown that's probably not feasible in the United States.
But Germany and South Korea are democracies, and you'd like to think that they value freedom as well.
What are the two or three things that they got right that we've gotten just so wrong?
Well, to start in the very beginning, they had a way of testing their population and contact tracing people who were
tested. And they are liberal democracies, but both those countries specifically were okay with
people who got sick, having to tell other government workers, healthcare workers at who
they were in contact with. We bristle at that. We have an allergic reaction to someone trying
to find out who we were with last night and going after that person to make sure they're not infected because it's just not part of our
culture. But then I got to say, Scott, everyone points to those countries and they're also
different than us in a lot of other ways. They're homogeneous populations. South Korea had been
hurt by viruses several times this decade, as have all Asian countries. So they were already
hyper aware of distancing and masks and things that might be effective. The Germans,
they're an organized people. But look at the Swedes, which is the real story. And
I was actually always amazed how it seemed like so many were rooting against Sweden.
But the Swedes were trying a very different approach. And just to make sure we're on the
same page, they basically said, we're going to do all the things America is doing right now. Social distance, wear masks if you want,
don't drop restaurants, but we're not shutting down. We're just going to keep the doors open
and do the best we can. And they messed up in the nursing homes, just like we did here in New York
and New Jersey. And half their deaths were from nursing homes, which are privately run in Sweden.
And so they didn't have the kinds of quality controls that sometimes you cut corners if
you've got a privately run business where no one's watching that stuff.
But overall, even though everyone hammers them for having higher rates of infection than Denmark and Norway, I mean, my goodness, Stockholm is a more cosmopolitan city in many ways than much of Norway.
So you're going to have more international travelers.
You would have expected to have a bit more cases there.
And right now, their health ministry has been defiant on this and saying, listen, we don't have any more deaths. We don't
see that many cases. We don't even think you need to wear masks anymore and sweet stuff that I don't
recommend for America. But it's sort of interesting. This is a health ministers. I mean, the Fauci of
Sweden is saying this stuff. And if you look at their curves and you're, you know, I love your
blogs, by the way, because they're all data-driven. Are those cartoons drawn by you?
No, are you kidding? No, I have a team of people much more talented than me.
No, I'm kidding. I love the cartoons, but when you draw the cartoon of Sweden,
it looks like a curve of any other country that was locked down, except they never locked down.
It challenges the basic concept of what we did throughout the Western world. You mentioned
China. China
did not shut down during this virus. They shut Wuhan down, which is 100 million plus people.
So it's a big deal. But I mean, they literally bolted the door shut, but they didn't shut down
Beijing. And so in this country, when we said, okay, everyone shut down, even though most counties
in the country never had a case, everyone's going to shut down. And then people wait around for a
couple of months, nothing happens. They don't know anyone who got sick.
And they start to say, well, was I misled?
I mean, are they just crying wolf all the time?
And people started to act out.
And I think that was, most people would agree, the cause of resurgence in the South. We just want to make sure that in the fall, coming up right around the corner, we don't
repeat that same mistake,. We begin to act like
Europe is acting because guess what? In Europe, they got one-tenth or less of the cases that we
have. Forget about deaths, I mean total cases. They're doing something that works. Let's just
copy them. We don't have to reinvent the wheel here. Yeah. In Florida, we now have more deaths
per day than all of Europe combined. On Sweden, just in terms of data, I have read, and maybe it's not
accurate, but I've read actually that the data on Sweden shows that the mortality rate is much
higher than bordering countries and that they didn't get any economic benefit to sort of this
semi staying open, that the economy has contracted at the same rate. They've gotten all of the bad
tastes. They've gotten, by my senses, higher mortality rates, or all of the calories, but none of
the great tastes that their economy has contracted.
I would argue, or at least the stuff I've read, and again, we all go into kind of our
own bubbles, and maybe I'm being selective, but I'm under the impression that Sweden is
evidence that the semi-lockdown did not work, that they actually looked back and if they
could do it again, would have done it differently. You see it as evidence that that is a viable option,
kind of this pursuit of herd immunity, if you will? If you talk to the Swedish leadership,
they're not going to acknowledge that this was a mistake. And if you point to economic issues,
you're absolutely right. Their economy did contract and they did not get the benefit you
would have hoped if your country stayed open. That's primarily because they are truly an island
in a continent that completely shut down. So if only Georgia stayed open, but every state around
them closed, you're going to lose everything that has to do with international trade, which is why
Stockholm and Sweden have done well in the last decade or two. So that's not really a fair
litmus test. I'm speaking as a doctor,
as a scientist. And the guy who's making these decisions in Sweden, again, they're Fauci,
the head of their pandemic response team, is saying, I can't control the economy and I can't
control international trade. What I can tell you is that most people would have expected that if
we didn't shut down, we would have increasing numbers of deaths that would dwarf everybody
else. Instead, we had a lot more deaths than surrounding Nordic countries that are not
as prone to international travel, I'll say, as we are. But we had less death than London and
the English, which is a comparable country to us. We had far fewer deaths per capita than
a lot of other countries in Europe. So we definitely weren't the worst either. So
forget about whether we're right or wrong. Is there something to be learned from what we did?
And both the Swedes and the Germans have published papers arguing that up to a third of their
population may already have some immunity to COVID-19 from past common cold viruses,
which are often coronaviruses, that have afflicted them in past years. And that's not because of
antibodies, because they don't have antibodies. It's because they have killer T-cells,
memory T-cells that remember a past coronavirus. So that might mean that up to a third of the
population in some areas of the world already are resistant to bad COVID-19 infections or maybe
infections at all. So that gets you, let's say 30%. Then you have another, in some parts of the
world, five, 10. Here in New York City, we project up to 20% of the population has already been exposed to the virus. So that gives you the 50%. So you mentioned herd immunity. I mean, we're not there yet, but the Swedes would argue they're getting close enough. And the actual number required for herd immunity may be less than 50%, again, depending on how it's managed in a population. So they're arguing that
without any other real treatments, they've been able to bend the COVID-19 infection curves down.
They are correct about that. Now, why it happened, we can debate.
Yep. Yeah. So my sense is you're a glass half full kind of guy. I'm a glass half empty kind
of guy on this. See, I'm curious to get your thoughts on the fall and school, both K-12
and higher ed. My thesis is that America, I don't want to say falls apart, but America feels real
strain when tens of millions of households where their kids are stuck at home. You're talking about
developmental disability. You're talking about economic threat to the household. But at the same
time, a lot of schools are opening and closing or just not opening at all. What's your view on K through 12? Well, I don't think you should lump them together,
Scott. I think you've got to divide K through five or K through middle school because the older kids
have the ability to distance learn. They do tend to get the infection and have some symptoms,
much more than, for example, the kindergartners where,
I mean, thank goodness, one of the few good things about this virus is it doesn't seem to
really cause a lot of morbidity among younger children. There'll be some and some syndromes
afterwards, but generally speaking, the virus has spared younger children. And plus, they're not
going to wear masks, not going to socially distance. So the question then becomes, these
kids, in theory, with some of the CDC
recommendations, which I think are very wise, separating the desks, feeding the kids in their
classrooms, not letting them congregate. So therefore, you actually change their arrival
times to school, change their pickup time. So you reduce the chances of them hanging out in
the locker rooms and contaminating each other, that you can actually get kids safely through
the school system. Now, that's the kids. They're teachers. When they go home, if they've gotten it asymptomatically, can they contaminate
grandma? I mean, those are big issues. And I don't think anyone really has an answer. The modeling
hasn't shown that to be a devastating impact on society. And the Europeans have been able to go
back into the classroom without experiencing horrible problems, as have the Asians. but there've been examples of outbreaks. But there's two realities here.
One, we are going to have infections in school. And the question then becomes, what do you do?
If you segregate the kids into small cohorts of 15, 20 kids, when one kid gets sick or they get
tested and shown to be positive, and if they're asymptomatic, if you can close that one cohort
down for two weeks and bring them back and not shut the whole school down every time one kid gets ill or one teacher gets ill,
that will be one option. And I think that's the hope of a lot of urban school systems.
But we have to have recognition that that's going to happen. And we as a society have to
be willing to tolerate that. And if we're not, there's no point trying to open schools. When we talk about higher ed or where I've been spending a lot of time thinking about
the upside and downside, I think the downside vastly outweighs the upside of having kids back
at college. I think they're a group that largely over-indexes upper middle class and from wealthy
households. They can take care of themselves. They'll still get most of their college experience, even if they have to do remote. And the downside of this cohort
that's known to be super spreaders, putting them in the density, whether it is the college campus
environment, just presents all kinds of risks. So K through 12, a risk we're taking. Higher ed,
a risk not worth taking, and we should close campuses. Your thoughts?
Generally agree. I think the school
systems are going to have to develop strategies that they're comfortable with, but they should
err on trying to get the children back into the schools for all the reasons that we mentioned.
And I think most of organized medicine is fully behind that, but we have to recognize that if
we are not willing to tolerate one child in a classroom getting ill without shutting the
school down, there's no point because that is going to happen. And I say this because everyone's
going to do it safely and they define not safely as one child getting ill. If we define that as
being cavalier, then it's, which is, I think, an impractical definition of, you know, of what
success looks like. Then we're not going to end up with kids in school. They're going to be going
back and forth, back and forth. I don't think the hybrids work well. I don't
understand why you'd be in school two days a week, not in school three days a week. I mean,
I think there's smarter strategies. And for example, if you really are worried about
infections in kids, get the high school kids home where they are closer to college kids that you
mentioned could potentially distance learn more effectively. At least they can speak for themselves
and then spread the elementary kids out into the high schools or use unused gymnasiums.
We use the facilities we have to allow more kids to be elementary school kids in school.
The colleges, the one issue I'll raise with you, NYU, it's very hard for those kids to stay away from everybody else.
But if you're at Amherst, right, or a school that is able to have everyone come on campus. They can't leave. It's
like a bubble. Imagine the NBA. And you've got all those kids realizing that they're going to
need to buckle down in order to get through the school year. Start right now because, and many
have, because they want to try to get as much of the school as they can. And recognize that you're
at some point probably going to get shut down, but get as much in as you can. And if you do it
really, really well with the frequent saliva testing we have available
now and isolating kids who don't, but don't send them home because you're just spreading
the virus.
They stay on campus.
They stay isolated in the dorms.
Schools have the ability to do that.
It's a model.
There are going to be some schools that are successful doing that.
You know, UNC, where a friend of mine had a son get ill, and Notre Dame, which I was
really one of the first to say were opening, had to pull back. But both those schools had big frat events. The Greek
societies were big there. And they didn't pay attention to it. They cost everybody,
which is, again, my biggest fear throughout this. People kept saying, don't cramp my style,
let me be free. Freedom to me is being able to go to work and make a living. That's freedom.
If I have to wear a mask or not go to a party in order to go to work, make a living and feed my family, that's freedom.
And somehow we haven't connected those dots as clearly as they did in Europe and in Asia.
I think what's happened at Notre Dame and UNC is going to be more the norm than the exception. And
I worry that universities are thinking with their pocketbooks and rather than just shutting down for a semester and focusing on online learning and coming out of this
with stronger online learning skills, that we've invented this series of protocols that
are somewhat, in my view, just totally unrealistic given the age and given the instincts of these
young people.
I think it's higher ed is just not worth the squeeze here.
What would you like to, if in the next 30 days,
we could implement two or three things, either government level, behavioral level,
say in the next 30 days, clean slate, we need to not suppress the curve. We just need to crush
the curve. What would you like to see the nation or our leadership put in place?
Well, if I could just change the question in time a bit. Sure. I just don't think we can eradicate this virus. And if we use that as
our definition of success, we've got a case positive rate under 1%, which by anyone's
definition of success is, we did it. The goal here is to make sure that our vulnerable
members are not ill. I'll just give you a number. If you look at New York
City, 96% of the people admitted to our largest healthcare institution for COVID-19 had a risk
factor of obesity, diabetes, hypertension, or chronic lung disease, right? 88%, this is important,
88%, so almost nine out of 10 people admitted to these institutions, had two of those risk factors. Not just one. You weren't just heavy. You were so heavy,
you were also diabetic. So we sort of know where the risks are. Now, that doesn't mean you won't
have sequelae or long-term consequences. But as a member of the media who speaks daily on this
topic, it is bothersome to me that whenever we see an outlying case, a 25-year-old who gets sick,
all of a sudden, that's the headline, right?
So if I was czar, I'd say, okay, the people who are vulnerable, we have to do everything
possible to get them out of the mainstream of life, including, for example, if in a population
that is in the bottom half of the financial pyramid, if the grandson has got to go to
work to make a living and he's a frontline worker, which are the jobs that are so critical now that generally are done by folks, especially people of color.
When they get home and grandma has to live in the same multifamily dwelling because there's no money to send her, we've got to figure out ways of getting grandma out of that environment.
In New York City, when we crushed the actual new cases and we were still having people admitted, they were all coming from home.
People had not left their home in months.
We're getting admitted to the hospital because of that dairy scenario I described.
So we need to have a structure, and this has been done elsewhere, of taking that population that fills our hospitals, our ICUs, and really hurts our country and get them out of the way of the mainstream of life. Then we need everybody else through a, I think, a logistically achievable goal
with frequent population screening, because you don't know when you're sick, and then contact
tracing, and then let people go back to work. Let them do what's been done in Europe and other
countries successfully, because otherwise people are going to get more and more upset about what
they're going through. And the decision makers, I'm going to say this, it should be controversial,
the decision makers are not living the same life as the people paying the price.
The people paying the price have lost their hope. And we can't afford for them to do that because
they do get upset. They should get upset and they start striking out, but they don't know
what to get mad about. So we need to be able to encourage those people to go back and by following
the rules that we know can work because they've been done successfully elsewhere, re-engage that. And that needs to be the upbeat message delivered.
Democrats, Republicans, it's not about the politics of this, although I know that is always
going to come up. But that's a message that the people who desperately need our help need to hear.
Yeah. It's just, where's the line between giving people the liberty and the freedom to get
engaged back and work in their regular lives, but also giving them the economic sustenance they need, such that, like you said, if they
need to distance, they can distance. I think the fear is that some people feel a pressure to put
themselves in harm's way for economic reasons. It's such a huge portion of our populace is
vulnerable. They can't put their health first, if you will. So I want to switch gears.
So when I first met you, I think about 99 or 2000, you were a cardiothoracic transplant surgeon.
And that's kind of it. You weren't globally, you weren't this global brand. And since then,
you've become an influencer. You have made this like crazy, I don't know what you call it, pivot.
I'm curious, one, what was the motivation for that? I mean, that's just not, that's not something
that just accidentally happens. You clearly had a plan, worked hard at it. And what has been the
most, the biggest surprise to the upside and the biggest surprise to the downside around this
evolution from what I'll call a surgeon, you were a famous surgeon and famous in your own circles to sort of this media
personality. What inspired that and what's been good and what's been bad about it?
Well, Scott, thanks for the kind words about who I used to be. And I still practice medicine. I'm
actually taking my board exams. So, you know, I'm still at New York Presbyterian, Columbia University.
I take great pride in that part of my life.
However, the reason I shifted gears, because it was never on my vision board to do media,
was my wife.
And much of what has happened good in my life was because, although it took her some time,
I would listen to her.
And what she kept saying was, you're coming home from work having perfected different – I invented all these devices for repairing heart valves.
I was doing a lot of mechanical heart placements and heart transplants.
You've figured all these things.
So in theory, you should feel like a million bucks.
But I know you're not happy because – and you're telling me you're not happy.
And the reason is because you're doing heart operations on people who don't need heart
surgery.
If they had just adjusted their lifestyle, if they just understood what the doctors knew
about, for example, coronary blockages or strokes or frankly, most of the chronic illnesses
that plague America, then they wouldn't need you to operate on them.
And it's not fulfilling to have to do something that is not necessary, that could be prevented
if people just knew what
you knew. So slowly but surely, she began nudging me to pick up the phone when media outlets called.
And ultimately, we ended up making a documentary, 13-part documentary for Discovery Channel. This
is back in 2003. And my first guest, the first person I invited on was Oprah Winfrey. And Lisa
had wisdom to say Oprah's had health issues,
but also Oprah is a teacher. She's the best teacher probably in the planet right now,
judging by how much people react to what she says. So if you can team up with her,
she can teach you to teach to a large population. She'll support this mission because it's part of
her calling. She'd be a minister if she wasn't a talk show host. And meanwhile, we'll get America
to think differently about their health. So I ended up doing the Oprah show dozens of times.
She became my partner on my show, which we launched in 2009. And then I had to learn
that the answers to the two questions that you really are asking, which is what's good and what's
bad. So what's good? People put a lot of emphasis into what you say when you're on national
television. And part of it is because you say when you're on national television.
And part of it is because you do have a team that can theoretically build up the best ideas.
You have the budget to make the best demonstrations. You can take wisdom that's out there but not appreciated and shine a light on it.
And I think that is the ultimate opportunity for television when done correctly.
Now, on the negative side, not everyone's happy you're doing it.
My own father didn't want me to do television.
He said, why are you wasting your time talking to people on television when you could be
in the operating room saving lives?
And I would answer predictably.
I'd say, Dad, if I operate as much as I can potentially do, I'll do 10,000 cases in my
life.
I speak to millions of people a day around the world.
We're in 100 countries.
I can speak to a lot of people about health insights that now that they understand them,
they'll be able to react even before they see their doctor
and do the right thing.
However, when you do that, you do upset the apple cart.
You begin to empower people in ways that you can't predict.
Sometimes they are empowered and do the right thing
and lose weight and their blood pressure gets better
and off they go.
Sometimes they start doing things
that you would never have told them to do and didn't know they were doing. And they'll say,
it was your idea to do it. And their doctors get upset with you. So you end up being the public
guy taking incoming and you've experienced that. I have every single, these days look around and
every celebrity has incoming that sometimes unpredictably, even from people you think
will be your allies. And I think that's part and parcel of what's
partly plaguing America today. We're not allowing people to be heroes, even if they don't deserve
to be heroes. Probably throughout human history, that's been the reality, that people weren't quite
as good as you thought they were. But you let people dream that they were great so you could
actually have a few people who are respected in society. And even the people that I respect the
most, I see getting criticized. Often, I don't agree with the criticism, but more importantly, I don't agree with the muddying of
the water around the clarity they were trying to bring to the world. Even spiritual leaders
are facing that now. Yeah. I don't have a 10th of the celebrity of you, but my sense is once
you hit a certain point, there's a cottage industry and what I call guardians of gotcha, where they get virtue points around examining everything you say, twisting it, attacking you,
and kind of there's an industry in sort of, you know, bringing you down, you know, building you
up so they can tear you down. And, you know, I find it disappointing that their job isn't to
interrogate what you said and learn from it or to push back. And
some of the pushback is healthy. We should be questioned. We should have our assertions tested.
But it gets very heated and very personal. I was thinking about you. I know you, but I don't know
you well. But I've never thought of you as someone who's really left or right. And again, I'm going
to speculate that you, like me, are a moderate. I've always thought of you as a moderate. Yeah, I am. And in the last couple of years, you've been, I don't want to call
it politicized, but I think everybody, there's this weird dynamic where everybody wants to put
you in a red or a blue bubble, and then 50% of the population decides they hate you. And my sense is,
for whatever reason, you've been perceived as foxy or as the conservative doctor.
And that's quite frankly, I might be wrong, but that's not the kind of amendment I know.
Is it frustrating that is that do you believe that's true?
My sense is you have been categorized.
And a lot of that is now people say, well, I'm going to try and find everything wrong with what he says.
It feels like you've been politicized to a certain extent.
Well, I launched last season with Bernie Sanders as my guest,
who I actually enjoy him and I appreciate a lot of what he's trying to share with America.
I mean, I had a bunch of the Democratic candidates on. In fact, Kamala Harris,
who again, congratulations to her for becoming our vice president and nominee. She was supposed
to come on my show the day that she dropped out of the primaries.
So I don't think that it's fair to say that I don't respect what the Democratic Party offers.
And I've had plenty of folks on the blue side on the show.
I've also had people on the red side on the show because I'm interested in the wisdom around health.
And I don't have them on to bash the other side.
I have them on because I'm curious, what would you do about health? How would you fix it? What's your strategy? Well,
if you think you're getting Medicare for all, I mean, how do we actually make that sustainable?
Could it be Medicare Advantage for all? I mean, I went to business school, Wharton, my goodness,
I can talk about healthcare policy issues enough to keep up with political leaders who are
articulating hypotheses. And it is, and to paraphrase Martin Luther King, of all the forms
of racism, the most disappointing is healthcare inequality, because you never get out of the
starting gate. You never get on the field to compete. And so it's one of those areas that I
think we haven't focused on. And I've been talking to a lot of folks who have some clout in this area.
I actually think that once we get through the Black Lives Matter crisis with criminal justice, we're going to have to deal with the one in health care justice.
Because as you know, I practice medicines in Harlem, Spanish Harlem.
I mean, I see this up front.
Well, we've got some big gaps in how we provide care to people of color in this country.
And that's the example that is that I think people who are Democrats and Republicans should be upset about who want to address.
Why would I want to politicize that?
So talk to me, last 20 years,
in addition to being a surgeon,
you've become, you know,
you've sort of, I don't want to say owned media,
but you have attacked it, owned it,
checked that box with Indelible Inc.
What's the next thing?
Is it more media?
Is it, do you see yourself in public service?
Like what is your,
if you want to look 10, 20 years out, how would your career look different than it does now?
Scott, I think me and you and many of the people listening to this podcast, by the nature of their paying attention, are in the change business.
I went into medicine to change medicine because I saw opportunities to make heart surgery look different.
I went in the media because I felt that if America got the message and it came from us,
trusted people on the inside of the ivory towers, that they'd react.
Because I thought America wasn't doing the right things for the health because they'd
never gotten the message before.
So I started doing television.
I think short term, I'm focused on building media connections to people so I can meet
them where they are.
Television, obviously, is the foundation element to what I do.
I'm proud of what we've accomplished with 100 really dedicated producers and staff.
And I know we can do much more as we get more and more clout, both in social media, where
we've got about 13 million people following us.
Not just in this country, by the way, but many countries have their own social media platforms. So we're trying to
get the word out everywhere. So that's a major focus of mine. But yes, public service is part
of my future. And I think that's something all of us who've had some modicum of success
in their day jobs need to think about. We need more people in the boats, rowing the oars to help
America. We've got opportunities to continue to shine a
light, not just for this nation, but worldwide. And what hurts me the most is when I go around
to many of these other countries and they say, they lament the fact that we're not
showing them what great looks like anymore. And we need to hold the baton up and say, guys,
as a species, we got here because we've got a collective unconscious,
some deeper wisdoms of insight that we all deep down in our soul know is real. It's what allowed
our species 50,000 years ago to come out of Africa, go straight to every corner of this planet and
build up communities that have thrived. I mean, it's remarkable what we've done. Let's not muck
it up by forgetting what those roots
are all about. And when we don't let that guidance rule us, then we begin to fall into
bitter disputes. And we need to remember that we are like raindrops falling into the ocean of
humanity. And some of the bickering, the things we're talking about earlier, where people are
picking apart folks who are trying to make a difference, especially people in politics,
by the way, who get maligned, even if they're great people.
We've got to get these folks a little bit of a lifeline.
Let them get their head above water and let them lead.
Or get in with them and help support them.
And worst, get out of the way.
Rain drops into the ocean of humanity.
You have a career.
The next 20 years is about poetry for you, Mehmet.
Last question, I promise.
Go back 30 years. Advice to your younger
self. Make as many non-fatal mistakes as you can. You'll learn from them. You'll be better for it.
You won't have any FOMO if you're missing out because you didn't take the opportunity.
Obviously, be rational because you don't want to kill and harry-carry while you're doing it,
but take some chances. Make some mistakes. It's worth it. Mehmet Oz is a cardiothoracic transplant surgeon, a media personality, has a new line
of goods, products focused on helping people get better, the best sleep possible, and joins us
from New Jersey. Mehmet, it's great to speak to you. Hi to Lisa, and thanks for joining us.
God bless you, my friend. Keep writing those beautiful blogs. I love them. Manitoy reading. Our producers are Caroline Shagrin and Drew Burrows.
If you like what you heard, please follow, download, and subscribe. Thanks for listening.
We'll catch you next week with another episode of The Prof G Show from Section 4
and the Westwood One Podcast Network.