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Cashing In on Obamacare, Again

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I know, I know. Obamacare is the worst idea since a Spice Girls reunion tour. It will stifle competition and kill capitalism. It will bankrupt the country and have us eating cat food in retirement. We'll all have to submit to the presidential death panel our DNA plus a 1,000-word essay on "What I would like to do next summer ..." in order to decide who gets an insulin prescription and who gets a sympathy card. Hey, did I mention the entire country's going commie?

Oh, I'm sorry. My mistake. You're a fan of Obamacare? Then rest assured; I understand your enthusiasm for the subject. Wringing costs out of the health-care system is vital. Clearly, the only way to do that is an enormous, government-run, reform program. Government being known for its efficiency and lean operations, a pillar of the reform must be thousands of pages of bureaucratic pronouncements on what insurance companies can offer, how hospitals should operate, and how much this should cost. This is the only way to shake the existing health-care establishment out of its complacency. If that means a few less ivory backscratchers for those Wall Street fat cats (who, by the way, have more money than you do. I'm just sayin'), then so be it. Also, did I mention those fat cats are rich?

Step away from the talk radio
I first penned those words about a year ago, when Obamacare was the hottest topic in the news. Since then, it has been displaced by bursting oil wells, troop withdrawals, and an economy that continues to limp. My point back then (which many readers missed) was that often, the shrill, brain-dead shrieking on both sides of an issue can create opportunities for investors who are looking to profit from the issue's "yuck" factor. I'm not going to try to pretend that health care has the same yuck factor that it did a year ago, but as I engage in my search for the market's best returning stocks, I have noticed that, as a group, health-care stocks haven't exactly been tearing it up.

Large-cap Sector Index ETF

1-Year Return

Telecomm

22.9%

Consumer discretionary

24.9%

Industrials

22%

Utilities

14%

Consumer staples

13.1%

Materials

11%

S&P 500 Index ETF

10.8%

Tech

9.5%

Energy

8.5%

Health care

4.8%

Financials

2.3%

Source: Capital IQ, a division of Standard and Poor's.

Now it's true that among the small-cap stocks that I usually consider at Motley Fool Hidden Gems, the health-care sector ETF has done a bit better, but the performance is still lackluster compared to sectors like energy and consumer staples.

Small-Cap Sector Index ETF

1-Year Return

Energy

28.5%

Consumer staples

23.5%

Consumer discretionary

19.4%

Utilities

15.2%

Health care

14.8%

Financials

12.9%

Russell 2000 Index ETF

12.3%

Materials

10.9%

Industrials

10.6%

Tech

6.5%

Telecomm

(5.2%)

Source: Capital IQ, a division of Standard and Poor's.

Sectors fall in and out of failure all the time as Wall Street sheep (and their Main Street followers) create bogus "macroeconomic" themes to sell, and pile in and out of the stocks that will supposedly benefit, or suffer, when their pronouncements come to pass -- and those rarely do.

Want to succeed in the face of this institutional idiocy? Then consider this basic fact: Invariably, the best way to make money is to get into the sector before CNBC is hyping it as the next great place to make a buck. And in my experience, the best way to do that is to simply concentrate your search in the currently unloved sectors, like health care.

The unloved sector
Some of you are no doubt thinking, "Make money in health care? This guy had better hope the psych panel hears his case soon." Hey, I am a guy who advocated buying BP (NYSE: BP  ) the entire time the shares were being clobbered in the wake of the Gulf oil spill.

Here's why I make investments like that: Back in January of 2009, I recommended Autoliv to members of Motley Fool Hidden Gems. At the time, it was widely feared that the economy -- and civilization along with it -- was crumbling for good. Surely, no one would ever buy a car again, except for those kind you stop with your feet, Flintstone-style, on your way to the local caveman market meet to trade your shiny rocks for some clubbed squirrel. Therefore, all carmakers, along with car suppliers like Autoliv, were investments to be avoided like swine flu, or Tom Cruise.

Autoliv returned more than 260% from that point. I submit that it was precisely because it was so actively hated by those smart guys on Wall Street, and by everyone else who thought their macroeconomic pessimism constituted sober analysis. What everyone "knew," and feared, turned out to be nothing close to what actually happened. Ford (NYSE: F  ) and even the-artist-formerly known-as-GM had to up production to deal with an uptick in car buying. Companies like Autoliv were priced for death, and when they didn't flat-line on the table (maybe they wrote a really good essay to the death panel), the stocks came charging back.

Same story, different sector
About the time I originally wrote this, I was asked to talk Google (Nasdaq: GOOG  ) and tech stocks on CNBC's Closing Bell, because tech stocks were the sexy sector then. As one member of the parade of bland men in suits, I was hoping to distinguish myself -- at least somewhat -- from the crowd by refusing to play the hot sector game. In fact, as I explained to "Money Honey" Maria Bartiromo, the concept of the hot sector makes me uneasy. By the time a sector has attracted attention, many of the stocks in it have risen, some nonsensically, and bargains are harder to find. Enthusiasm for what's already popular might get you face time on CNBC, but it's likely to put your portfolio on long-term life support. (Google is up a paltry 1% or so over the trailing 12 months. I'm just sayin'.)

As Buffett has put it, you pay a high price for a cheery consensus. Luckily, the converse is also true. You get a bargain price for fear and loathing. That's why, to the extent that a "trees-not-forest" investor like me is interested in sectors at all, I'm much more interested in groups of companies that are feared or openly reviled. And right now, health care looks like it's one of those places where investors fear to tread.

There may be good reason for that, after all. Health care can be a brutal sector, even for the bigger companies. Johnson & Johnson (NYSE: JNJ  ) has struggled with recalls and produced a pretty soggy, below-2% return over the past year. St. Jude Medical (NYSE: STJ  ) has dinged investors for a 7% loss over the same period, despite a steady increase in revenues and improving margins. Big hospital chains like Tenet Healthcare (NYSE: THC  ) and Community Health Systems (NYSE: CYH  ) have been similarly forsaken by Mr. Market, despite their decent results.

Learn from the winners
But it doesn't have to be this way. In fact, in the weeks after I first suggested investors try to cash in on Obamacare, Hidden Gems members reaped some substantial rewards. At Hidden Gems, we concentrated our efforts on identifying companies that would likely thrive no matter how the health-care policy shook out. We purchased a pair of these, inVentiv Health and IMS Health, for our real-money portfolio. Mere months later, they were taken out by private equity buyers for nice premiums.

We made 50% on our money in weeks, and all because people were too busy screaming at each other to stop and think.

Foolish final thought
Those results may not be typical, but we certainly believe they're replicable. You can beat Mr. Market by looking in hated sectors for great companies, and buying the babies, so to speak, while they're being tossed aside with the bathwater. Given the continued malaise and occasional flare-up in the health care debate, I think you ought to devote a portion of your stock research to this sector.

At Motley Fool Hidden Gems, we're putting our money where my mouth is again. We continue to add promising, small health care companies to our stable of portfolio candidates, and just this week, we put real money into a company that is the leader in its market, yet hated by Wall Street. We paired that trade with a buy in a fast-growing health-care upstart that is stealing market-share from its moribund, large-cap competition. If you'd like to see where we hope to profit from Obamacare, a risk-free trial is just a click away. And as a special, double-secret-hated-sector bonus, my team recently produced an exclusive report featuring eight stocks from the oil patch. It's yours free with that trial.

6 stocks you can't afford to ignore! Motley Fool co-founders David and Tom Gardner just handpicked 6 rock-solid, well-run companies they believe you need to be watching. Get the names and stock symbols right now in a FREE report from The Motley Fool. We'll add the first ticker to your personal My Watchlist, a FREE service that gives you the latest news on the companies that matter most to you. For instant access to your free report, simply enter your email address here:

Seth Jayson had shares of the following at the time of publication: BP and Johnson & Johnson. You can view his stock holdings here. He is co-advisor of Motley Fool Hidden Gems, which provides new small-cap ideas every month, backed by a real-money portfolio. Google is a Motley Fool Inside Value recommendation. Google is a Motley Fool Rule Breakers pick. Ford Motor is a Motley Fool Stock Advisor selection. Johnson & Johnson is a Motley Fool Income Investor choice. Motley Fool Options has recommended a diagonal call position on Johnson & Johnson. The Fool owns shares of Google.


Comments from our Foolish Readers

Help us keep this a respectfully Foolish area! This is a place for our readers to discuss, debate, and learn more about the Foolish investing topic you read about above. Help us keep it clean and safe. If you believe a comment is abusive or otherwise violates our Fool's Rules, please report it via the Report this Comment Report this Comment icon found on every comment.

  • Report this Comment On September 04, 2010, at 10:33 AM, sergeanted wrote:

    Your opening salvo says it all.Obamacare is a turkey just like it's namesake.You are correct in your assertion about the failure of government run programs.Only those that are un-educated would support this program as it will surely increase the cost of healthcare,decrease the quality and ultimately could bankrupt the country.

    This November we have an opportunity,on what I call "TRASH DAY",to vote out all the incumbents,Republican and Democrats alike,for not listening to the majority of citizens that dis-approved Obamacare,"TAKE OUT THE TRASH" or we will continue to suffer future legislation like this "TURKEY".

  • Report this Comment On September 04, 2010, at 1:51 PM, TMFBent wrote:

    "Only those that are un-educated would support this program as it will surely increase the cost of healthcare,decrease the quality and ultimately could bankrupt the country."

    I don't believe that for a second. And your opening statement is plainly untrue. Plenty of very highly educated people supported and helped shape the health care "reform," and it's not possible to know what the outcomes will be at this point, when the rules for putting it into place have not even been written yet.

    To reiterate the point I was making above: People who see this issue in black and white, and make baseless blanket assertions on either side, are not thinking critically. That, for investors, often presents an opportunity.

    Let the blowhards blow. The rest of us can make some dough.

  • Report this Comment On September 05, 2010, at 12:42 AM, BobMichigan wrote:

    The situation before "Obamacare": The US has universal, free, socialised health care. Just show up at am emergency room and all your needs are provided for with no penalty at all for not paying. The bill is taken care of by the taxpayer.

    Obamacare: Most of those people have to buy insurance.

    Yeah, that's awful.

  • Report this Comment On September 05, 2010, at 9:02 PM, Varchild2008 wrote:

    I can't wait for people next year to go to the drug store to buy their over the counter medications and end up with a sticker shock at the cash register.

    As Larry Kudlow reported on his show not too long ago, over the counter drugs will be taxed due to Obamacare. That impacts everything from Tylenol to Prilosec to Zicam to Pepto Bismol.

    The current 10% tax on tanning salons sure isn't revitalizing our economy any.

    Hey I am perfectly OK with trying to make some money in the market. But, I am also not ok with the widespread "IGNORANCE IS BLISS" mentality that you are recommending here. Ignorance is not bliss... Didn't 2008 prove that? Leaving yourself ignorant about Obamacare, treating everyone as "BLOWHARDS" is find and good until the bottom falls out of the market and you are left scratching your head...and broke.

  • Report this Comment On September 07, 2010, at 3:26 AM, ChrisFs wrote:

    Funny how some people hate 'socialism' yet many of those same people love their Medicare.

    And exactly since when have the insurance companies being the model of bureaucracy-free efficiency ?

    You have to understand and navigate this minefield of co-pays, benefit limits and exclusions, And if you get too sick, they raise your rates, or drop you all together and you can't get insurance because you have a 'pre existing condition'.

    Reform only gets passed if the current system isn't working for a lot of people.

    As far as why the sector hasn't move. Most of the changes don't take effect until 2014.

    Looking for changes now is like day trading, all you are seeing is static.

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