CDC Reports the U.S. is Supersized

A black and white picture of the airbrush logo.The CDC reports that 7 out of 10 Americans are overweight or obese and almost 4 out of 10 Americans are obese.

There is an underlying pattern of racial and ethnic disparity.  Almost half of Hispanics and blacks are obese with obesity rates for 2015-2016 of 47% and 46.8% for adult Latinos and non-Hispanic blacks respectively.

Obesity is most readily defined by Body Mass Index (“BMI”) which takes a person’s weight in kilograms and divides it by their height in meters squared.  For adults, those with a BMI between 18.5 and 24.9 are considered to have a normal weight. A BMI between 25 and 29.9 is considered overweight and anything above 30 is deemed obese.  The NIH provides a calculator for you to determine your own BMI.

It is apparent to anyone following these statistics or even just walking down the street that current efforts to control the obesity problem have failed to reduce obesity rates.

We have learned that visceral fat or “belly” fat within the abdomen hijacks the metabolism by secreting the cytokine resistin.  This cellular hormone antagonizes insulin, blocking sugar from entering cells or reaching the brain.  It saps energy, shuts down the metabolism, causes brain fog, and hunger. Cellular hormones are secreted directly into the portal circulation and the body’s protein factory, the liver, is commandeered to produce bad lipids which cause strokes and heart attacks. Mesenteric fat thickness is closely correlated with carotid intimal narrowing.  Belly fat doesn’t just shorten your life, it reduces its quality with sleep apnea, gastric reflux, type 2 Diabetes mellitus, heart attacks, strokes, autoimmune diseases, and cancers.

New technology facilitates a new approach to the problem. Rather than just starving this belly fat and letting it remain in place as do current bariatric surgical alternatives, removing it this visceral fat in aminimally invasive procedure may prove to be a simpler, more direct and permanent, safer and highly effective alternative.  Endoscopic visceral lipectomy could just be what the doctor ordered.  Â It is clearly time to seek new approaches and fresh solutions as obesity rates continue to rise.

MedTech Status Mundi


A black and white picture of the airbrush logo.

Quantum theory holds that everything that can occur happens at the same time until observation fixes the outcome. The observation is not only determined by the perspective of the observer but also by the precision of the observation. Since each event subsequent to the first observation plus/minus its margin for error determines one or more subsequent events, we can envision a broadening cone of future events through time determined by that first observation.

It does seem rather hapless to make any prediction based upon the current state of uncertainty in these early days of the Trump presidency, the liberal revolt against it and Brexit’s uncertain effect upon the UK and the EU.  That said, let’s venture to do so with an admittedly large margin for error from the perspective of an American medical device company bringing a new product through the F.D.A. approval process and into the domestic and ultimately the world market.

The pluses: The hold on the medical device tax and President’s Trump stated intent to ease regulatory burdens and reduce corporate tax rates favors development and production. We see the U.S. stock market is hitting new highs in anticipation of these favorable changes with $2.9 Trillion USD added market capitalization. Uncertainties regarding EU survival and stability and even the terrorist threat from open borders favors foreign investment in U.S. Companies as a safe harbor. Companies with overseas funds may be able to repatriate overseas cash without onerous tax burdens to spur domestic production and hiring. If jobs are created, the velocity of money will increase to allow an increased and ready market for the purchase of newly produced products.

The maybes and minuses:   First of course, is the general uncertainty which tends to have a dampening effect on investment. Even if the lowering of the corporate tax rate is retroactive, it will be a minimum of a year before it has enough effect on earnings to justify the current stock multiples and valuations. It is predictable that the stock market will have a substantial correction upon the news it has anticipated and priced in as the changes slowly filter down to corporate bottom lines. The strength of the U.S. dollar and the possibility of tariff wars may not bode as well for international sales Rising interest rates may also add to inventory costs.

So how do we assess this grab bag of uncertainties? We gauge the environment as more positive than negative for domestic sales, corporate profits, regulatory approval times, stock prices, and investment.  And after the anticipated intermediate market correction, we believe the investment environment should be substantially improved without likelihood of any substantial downside for U.S. medical device companies in 2017 and 2018. Time will tell, but this seer is currently wearing rosy glasses.

Proudly Made in the U.S.A.


A black and white picture of the airbrush logo.Since BioSculpture Technology, Inc.’s founding in 2001, our equipment has always been manufactured and assembled in the U.S.A.  Of course we happily use components from our allies around the world and will continue to do so when those components help us make our devices better.  But, we have never opted for a foreign component merely because of cost.  Our standard, the American standard, has been that of making the best possible product, and manufacturing it inside the U.S.A.

Last night the “silent majority” spoke and reclaimed our country back for everyone who actually works for a living or who wants to again be able to work for a living.  U.S. workers expressed their desire to be able to ply their trades again and reawaken the American dream.  And, it was a beautiful thing. Read more