Health care companies consider President Barack Obama's budget a potential profit-killer. Investors agreed and dumped their shares last week, dragging down exchange traded funds. The budget aims to raise taxes and deduction limits for people who earn more than $250,000 a year. The ultimate goal is to raise $634 billion to help fix the health care system. The tax hikes will generate $318 billion of that amount, and the rest will be squeezed from Medicare, the government-sponsored health program for seniors. The actual cost to create a universal health system is projected to be significantly higher than the budget estimates. To close the gap, the government might cut reimbursements paid to health-care providers, eroding profitability. The Medicare Advantage plans offered by private insurers could lose as much as $175 billion. The Advantage program is on the chopping block because it pays 14% more to providers than Medicare would for the same services. The health-care and biotechnology ETFs we track lost 7.4% during the five trading days that ended Feb. 26. The worst performer of the group, the iShares Dow Jones U.S. Healthcare Providers Index Fund ( IHF), sank 16% after HealthSpring ( HS), Humana ( HUM), WellCare Health Plans ( WCG), Psychiatric Solutions ( PSYS) and UnitedHealth Group ( UNH) each lost at least a third of their values. Obama promises that workers who like their company plans will be able to keep them. But if the government offers better benefits with lower premiums, private health groups might be forced to compete. If people move en masse to government plans, private insurers would suffer.
Looking today at week-over-week shares outstanding changes among the universe of ETFs covered at ETF Channel, one standout is the iShares US Healthcare Providers ETF where we have detected an approximate $29.2 million dollar outflow -- that's a 4.9% decrease week over week (from 5,100,000 to 4,850,000). Among the largest underlying components of IHF, in trading today Anthem Inc is up about 1.4%, Aetna Inc.