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$500,000 vs. $50,000: Montana's Cancer Treatment Loophole

How an expanded "right to try" law and cheap DNA sequencing are pricing Moderna's mRNA immunotherapy out of the market.

Hunt, Mike, and Jason walk the Cash Flow Memo across an escalating Iran-US oil standoff, the widening federal deficit, a wave of new AI agent products from xAI and Meta, and a Montana law reshaping the economics of cancer immunotherapy.

The Cashflow Memo

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Key Takeaways

  • Iran-US tensions escalated in the Persian Gulf (US Navy sinking Iranian shadow fleet tankers after a failed missile strike on the USS Abraham Lincoln) and pushed Brent over $100 intraday, but Hunt reads the ~$20 12-month backwardation as the market pricing de-escalation and holds his call that oil isn’t sustainable much above $90.

  • The $2 trillion US deficit and the $15 trillion US repo market (matched by ~$15 trillion in Europe) are the macro risk to watch: Hunt wants a credible 24-month path from Treasury Secretary Bessent to cut the deficit to $1 trillion or expects repo-market stress reminiscent of 2008’s Bear Stearns/JPMorgan rescue; Jason sees no political will to act absent a crisis.

  • Grokbot (xAI) is emerging as the household/enterprise AI-agent leader on $20-$300/month subscription tiers, with Meta building a comparable agent monetized through frictionless in-app purchases (e.g. Instagram) rather than subscriptions; Mike frames AI as a sustaining innovation for Microsoft’s knowledge-work franchise, while Jason argues Apple risks just selling screens if it doesn’t ship an equivalent iOS agent.

  • Montana’s expanded right to try law is opening a roughly $50,000 cash-pay alternative to Moderna’s roughly $500,000 personalized mRNA cancer immunotherapy, riding now-cheap DNA sequencing and AI-driven mutation targeting; Mike and Jason see no patent-infringement exposure since the underlying science is federally funded and public, and flag insurance reimbursement — not the FDA pathway — as the real gate on Moderna’s pricing power.

  • China’s share of global pharma licensing deals jumped to 42% in H1 2026 (from ~20% in 2023, near zero before that), with a Chinese-developed bispecific antibody now showing head-to-head superiority over Merck’s Keytruda on the PD-1 pathway; Jason and Mike flag drug development running 3x faster and 30-50% cheaper in China as a structural threat to US/Europe biotech economics.

Show Notes

[00:00:27] Oil: Why $90 Still Holds Iran’s failed missile strike on the USS Abraham Lincoln and the US Navy’s response — sinking Iran’s shadow fleet tankers — pushed Brent over $100 intraday, but Hunt reads the ~$20 12-month backwardation as the market betting this de-escalates rather than a new sustained regime.

[00:04:27] Gas: Riding the Permian’s Coattails Higher oil prices mean more Permian drilling and more associated gas supply, a headwind Hunt is weighing against otherwise supportive gas fundamentals.

[00:04:47] Deficit: A $15 Trillion Repo Market Under Strain The $2 trillion federal deficit and a $15 trillion US repo market (matched by roughly $15 trillion in Europe) are where Hunt expects the next crack to show, unless Treasury Secretary Bessent delivers a credible 24-month path to cut the deficit in half; Jason doubts the political will exists absent a crisis.

[00:08:47] A New Framework: Two Years Back, Three Years Forward Hunt introduces his personal method for underwriting a five-year plan — two years of real backward-looking analysis plus three years forward — starting with SpaceX’s capital-intensive, data-center-driven growth, and previews Amazon/Google-style capital spenders against Apple/Nvidia-style cash generators.

[00:11:23] Agents: Grokbot Goes Mainstream xAI’s Grokbot is already automating Mike’s household admin (registering appliances, renewing car registration, booking hotels) on $20-to-$300-a-month tiers, with Meta building a comparable agent monetized through frictionless in-app purchases rather than subscriptions.

[00:17:50] Microsoft and Apple: Sustaining Innovation vs. Just Selling Screens Mike argues AI is a sustaining innovation for Microsoft’s knowledge-work franchise if it ships a good enterprise agent; Jason warns Apple risks becoming a screen-seller if it doesn’t integrate an equivalent agent into iOS, even after Apple’s same-day Apple Intelligence event.

[00:21:02] Montana: A $50,000 Alternative to a $500,000 Cancer Treatment Montana’s expanded right to try law lets clinics offer personalized mRNA cancer immunotherapy for roughly $50,000, versus Moderna’s roughly $500,000 approved treatment, using now-cheap DNA sequencing and AI-driven mutation targeting; Mike and Jason see no patent issue since the underlying science is public and federally funded, with insurance reimbursement the real constraint on Moderna’s pricing.

[00:28:14] China’s Pharma Surge China’s share of global pharma licensing deals hit 42% in H1 2026 (up from ~20% in 2023 and near zero before that), including a Chinese-developed antibody now beating Merck’s Keytruda head-to-head, as China develops drugs roughly 3x faster and 30-50% cheaper than the US and Europe.

Download this week’s Cash Flow Memo at telltales.us and join us next Wednesday for more on Nvidia’s frontier-model ambitions and China’s pharma push.

Cashtags

AAPL 0.00%↑ AMZN 0.00%↑ GOOGL 0.00%↑ JPM 0.00%↑ META 0.00%↑ MRK 0.00%↑ MRNA 0.00%↑ MSFT 0.00%↑ NVDA 0.00%↑


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