Tag Archives: science

Florida: Let the Sunshine In…

The U.S. Census Bureau estimates that approximately eight million people relocate between states every year. In 2024, the most recent data available, over 873k people moved to Florida pushing the population to 23.5 million. Covid triggered a significant inflow of people from other parts of the country as has a favorable tax regime, and for many, the decidedly Red State tilt is attractive. The median age of a Florida resident is 42.6 years, ranking fifth oldest state in the country.

With this migration, Florida’s exceptional healthcare sector has become only more essential. As a keynote speaker at the recent Moffitt Cancer Center’s Business of Biotech Summit, it was quite revealing to hear about the Florida healthcare and life science ecosystem which is both wide and deep. Last week the Administration released a proposal to amend the Office of Management and Budget’s (OMB) Guidance for Federal Financial Assistance framework which determines how the federal government allocates research grants. This risks deeply politicizing where and to whom these funds will go with unintended knock-on effects. 

Domestic Migration Patterns (2020 – 2024)

Source: Census Bureau

This shifting demographics will have profound implications across many dimensions of society and the domestic economy. For one, the migration of wealth to Florida alongside longer life spans will see continued explosive growth in the long-term care sector. The Federal Reserve estimates that people born before 1964 (Baby Boomers and older) have $110 trillion of net worth. Cerulli Associates estimates that $2 trillion of this will be passed to younger generations and another $1.3 trillion will be passed on to spouses this year. Overall, the Federal Reserve estimates that the amount of wealth that can be bequeathed to the next generation is 424% of GDP (2021 data), up dramatically from 256% 25 years ago.

Net Wealth in U.S. by Generation

Source: Federal Reserve

Florida enjoys a historic strength anchored in a low-cost manufacturing base, both in pharmaceuticals and medical device. Around that base has risen an emerging research cluster as evidenced by the $1.5 billion of R&D expenditures by Florida universities. The National Institutes of Health has contributed nearly $930 million in research funding this past year.  Expect that to increase given the OMB’s directives to allocate research funds to projects and states more in line with the Administration’s political agenda. This does not augur well for other life science clusters in Blue States that have been historic strongholds of innovation.

Select Florida estimates that the state now has over 1,000 biotech R&D establishments and more than 1,400 medical device manufacturers, making life sciences the second most significant industry in Florida. The National Center for Science and Engineering Statistics highlighted that there are more than 1,500 clinical trials being run in the state. It is believed that there are more than 90k professionals in the life sciences sector in Florida.

These data do not even begin to capture the extraordinary healthcare services sector in the state given the needs of the older population. The Florida Hospital Association estimates that there are 321hospitals in the state which contribute nearly $200 billion of economic activity and accounts for 345k jobs.

Florida Healthcare Ecosystem

Source: J.P. Morgan, BioFlorida

It is not surprising that investors have identified Florida as an important cluster to support. According to Pitchbook, there was over $1.0 billion invested in 117 healthcare and life sciences companies in Florida in 2025 with the year-to-date pace set to eclipse the amount of capital invested, granted in fewer companies. There has been a marked increase in the number and size of later stage financings over the past five quarters, suggesting a rapidly maturing innovation ecosystem as well. This trend underscores the strong research and manufacturing infrastructure and the accommodative regulatory environment.

Florida Healthcare and Life Sciences Venture Capital Activity

Source: Pitchbook

Given the positioning of how business-friendly Florida is and that it is arguably the cradle of crypto, it is somewhat ironic that the state has launched a very public investigation into OpenAI to determine culpability in its role in mass shootings on Florida campuses. At its essence these cases assert that AI companies are criminally liable for their products. Given the extraordinary potential of AI in healthcare and life sciences, the adjudication of these cases may reflect how prepared the state is to unleash these capabilities for scientific research.

Additionally, this debate highlights the struggle balancing privacy rights and public safety. More fundamentally, which jurisdiction – the states or federal government – ultimately should resolve these issues. The Administration issued yet another executive order last week requiring its oversight of new AI models. Combined with the OMB’s edict, the federal government will cast a long dark shadow over scientific research.

Last week also saw the Republican Florida legislature add a measure to the fall ballot which dramatically reduces property taxes in the face of rapidly escalating property values given the influx of wealthier residents. Such a change has raised concerns that education, safety net healthcare, and other public infrastructure will not be adequately funded. 

There are a few other possible storm clouds on the horizon. Notwithstanding that Tampa was just ranked the second most attractive city for recent college graduates according to ADP, the rapidly rising living costs have forced many middle-class Floridians to consider relocating away from the state. The influx of wealth and the current Administration’s hostility to immigrants are at risk of hollowing out the middle-class. Data from the Internal Revenue Service calculated that new arrivals to Miami-Dade County between 2022-2023 had an average income of $178k, the highest in the country, more than twice those who departed. An analysis by the Wall Street Journal concluded that deaths outnumbered births in Florida each year since 2020, a trend likely to get worse given the age distribution.

We hope you will join us for our next quarterly Expert Roundtable Series on June 16, 2026 at 12:00pm ET (register here). To stay connected, subscribe here for the latest updates, news, and insights from Flare Capital Partners.

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Cosmetic Surgery: Cuts Like a Knife…

According to the American Society of Plastic Surgeons (ASPS), there were nearly 1.6 million cosmetic surgeries in the U.S. in 2024. The most popular part of the anatomy to be operated on involved the breast with just over 600k surgeries, although the single most popular procedure, by far, was for liposuction with 350k cases. The least popular procedure – fortunately – was for buttock implants with just over 1,200 cases. Globally, cosmetic surgery is estimated to be more than a $90 billion market, which will more than double over the next several years. The U.S. accounts for approximately 25% of the market with women accounting for 93% of all procedures.

Size of Global Cosmetic Surgery Market

Source: Grand View Research

Adjacent to cosmetic surgery are minimally invasive procedures, of which there were a staggering 28.2 million in 2024 according to ASPS data. The leading procedure was for neuromodulator injections (e.g., Botox, Jeuveau, etc) with 9.9 million followed by 5.3 million hyaluronic acid filler procedures which add volume and fullness, offering “patients the perfect plump and youthful aesthetic” according to ASPS literature. Sometimes mocked are the 1.5 million lip augmentations that will “leave you grinning ear to ear,” again according to ASPS literature.

Interestingly, South Korea is considered the global leader in cosmetic surgeries on a per capita basis with more than 13 procedures per 1,000 people as compared to the U.S. with just under 10 per 1,000. Unlike in the U.S. though, the South Koreans are particularly excited about rhinoplasty (nose jobs), liposuction, and something called blepharoplasty (removing excess eye lid skin) which are the three most popular surgeries there.

Cosmetic Procedures per 1,000 People

Source: International Society of Aesthetic Plastic Surgeons

To support this explosion in surgical procedures, the academic community has raced to train more cosmetic surgeons. The distribution of plastic surgeons in the U.S. is expectedly unbalanced, with a density of providers in some of the more obvious markets such as Florida, New York, and California. According to Salary.com data, the average plastic surgeon will earn $464k this year, with top decile earners reaching $591k. Entry level surgeons will make $379k. One might imagine that plastic surgeons in South Korea are crushing it given the relative shortage of providers as compared to the market demand.

Countries with Most Plastic Surgeons

Source: Statista, American Board of Plastic Surgeons

The prevalence of cosmetic surgeries has spiked over the last several years due to a number of factors, not least of which is the popularity of weight loss drugs (GLP-1s). For some patients this has created the near-gaunt “Ozempic Face.” The Center for Obesity Research and Education estimates that nearly one in eight Americans have now been prescribed GLP-1s. And it is likely to be even more given this past week’s announcements that Medicare will pay a $50 copay starting in April 2026, and that Eli Lilly and Novo Nordisk will significantly reduce drug prices. Furthermore, the ASPS estimates that 20% of people taking GLP-1s will at some point have cosmetic surgery.

Staring at one’s face on zoom has helped drive an extreme level of self-awareness, coupled with the “Kris Kardashian” effect (who looks fabulous, by the way), have given broader permission for people to consider and openly discuss the merits of physical modification  and reinvention. Obviously, the use of Instagram filters has now provided consumers an easy way to envision a “more beautiful you.” All of this is facilitated by the tremendous advances in medical technologies and products.

Given these procedures are for the most part private pay, unless deemed medically necessary in certain reconstruction cases, the recent dramatic concentration of wealth whereby the top 10% of U.S. households now account for almost half of all consumption, has further facilitated the increase in volume. While some may mock the “Mar-a-Lago Face” now so popular with many on the conservative Right (see Kristi Noem, Lara Trump, Kimberly Guilfoyle, the First Lady), that too has ushered in a much greater acceptance of a significant re-architecting of one’s body.

While mortality risks tied to cosmetic surgeries are relatively low, estimated to be approximately one in 50k procedures, many patients are now looking overseas for cosmetic surgery given cost considerations. “Medical tourism” for cosmetic surgery has been shown to be materially less safe, most notably and tragically in the Dominican Republic where nearly 100 Americans have died over the past few years, causing the Centers for Disease Control and Prevention to issue a warning.

Obviously, social media has played an amplifying yet pernicious role in all of this. According to Influencer Hero, Dr. Daniel Kaufman in Miami (@bodybykaufmanmiami) ranked #1 for “Plastic Surgeon Influencers” with an 87% Real Follower Score, tops among all plastic surgeons. Dr. Anthony Yuon (aka “America’s holistic plastic surgeon”) has 8 million followers on TikTok and 1.6 million on Instagram.

Adjacent to the cosmetic surgery phenomenon is the excitement about the longevity movement, which seeks to both extend life and improve the quality of those later years. Cynics have challenged the consumption of precious medical resources for endeavors such as cosmetic surgery, to say nothing of raising unrealistic expectations of newfound and perhaps unattainable beauty for many/most. Notwithstanding the very real and profound emotional and physical benefits for some that come with cosmetic surgery (heightened confidence, improved self-esteem, enhanced weight loss, etc), the debate swirling around the merits and appropriateness of these procedures persist.

While the nearly $20 billion spent on cosmetic surgery is a relatively small component of overall health care costs in the U.S. (see below), there is a legitimate debate about the utilization of finite medical resources on such elective procedures. The more nuanced concerns with increased social stratification and the chase for unrealistic beauty also have merit, particularly given that 40% of those under 45 years old have received some type of cosmetic procedure.

Distribution of Healthcare Expenditures

Source: National Health Expenditure, KFF (2023)

And please join us for our next quarterly Expert Roundtable Series webinar on December 9, 2025, at noon ET. And subscribe here to follow other news and insights from Flare Capital Partners.

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Our Complex Relationship with Animals…

Man has a complicated and ethically challenged relationship with animals. At the same time, they are a source of companionship, nourishment, and used for drug discovery testing. The American Veterinary Medical Association estimates that there are 89.7 million dogs and 73.8 million cats in the U.S., and that more than two-thirds of all households have at least one pet. There was a significant “Covid bounce” for new pet adoptions in 2020, as we sought out the security of man’s best friend, which tailed off in 2023.

U.S. Pet Population

Source: American Veterinary Medical Association

Here’s the other side of the coin. The US Department of Agriculture (USDA) reported that 9.8 billion land animals were slaughtered in 2020, of which nearly 9.4 billion were chickens. As shocking as that is, Faunalytics estimates that globally 85.4 billion animals were consumed in 2023. This equates to 9.4 chickens per capita annually.

Global Number of Animals Slaughtered

Source: Faunalytics

While that juxtaposition is cruelly ironic, the use of animals in the drug discovery process generates arguably more controversy and debate. In 1937 the U.S. government mandated that animals be tested for toxicity before human drug trials could commence. According to Cruelty Free International, citing USDA data, approximately 650k animals were used in clinical experiments in 2023, not counting the 125k lab animals kept in captivity for future studies. Importantly, this also does not include mice, rats, fish, or birds which are not tracked by the USDA. Industry estimates inclusive of those animals put the number at greater than 14 million in clinical studies each year.

Setting aside the legitimate ethical concerns swirling around animal testing and the significant cost considerations, as well as the fact that animal models are often poor proxies for human effectiveness, advances in AI and micro-fabrication are ushering in several novel approaches to replace animals in the drug discovery process.

There is also the practical dilemma that the supply chain for certain lab animals is severely impaired as many of the biomedical-grade research animals are imported from Asia. For instance, estimates are that approximately two-thirds of the 30k imported monkeys (mostly long-tailed macaques) come from China, which has now been dramatically curtailed causing the price to spike to more than $30k per monkey, up from $2.5k just a few years ago.

Lost among a litany of controversial changes at the FDA with the new Administration, this past April a directive was issued to phase out animal testing for monoclonal antibody research. This order also introduced the “New Approach Method,” which is to rely on “AI-based computational models of toxicity and cell lines and organoid toxicity testing in a laboratory setting.” Wrapped in the goal of more effective drugs getting to market faster was also the goal to significantly reduce development costs by limiting the reliance on animal models. In part to acknowledge the protests of PETA, Charles River Laboratories, one of the largest clinical research organizations, announced last year a $300 million initiative to secure alternatives to animal testing.

Forbes recently estimated that the U.S. pharma industry spends $300 billion annually on research and yet, nearly 90% of viable drug programs are unsuccessful. The White Coat Waste Project, which advocates for eliminating animal testing entirely, estimates that the use of animals in the drug discovery process costs the U.S. government $20 billion. Along with the drastic and haphazard DOGE cuts to medical research budgets earlier this year, tragically an untold number of lab animals were euthanized as projects were summarily halted.

On the other hand, the National Association for Biomedical Research, which advocates for the use of animal testing, claims that 60% of animals critical to research are now not accessible, dramatically impacting drug discovery.  Interestingly, researchers at the University of Pennsylvania recently discovered a compound in the DNA of long-extinct wooly mammoths (mammuthusin) which can eradicate “super bugs” which last year killed over five million people. There are fears that without new antibiotics, drug-resistant “super bugs” could kill 39 million people annually by 2050.

One of many biomedical Holy Grails has been the “lab on a chip” platform. Several recent promising initiatives have been announced, two of which are in outer space. NASA, in collaboration with Wake Forest University, is developing a “bioprinter” platform to create human tissues for rapid testing. Not to be outdone, Elon Musk’s SpaceX Falcon 9 rocket is now taking experiments to the International Space Station to grow organs from stem cells.

Of particular interest, driven by the dramatic, head-spinning advances in protein sequencing is the ability to simulate living cells in silico. Large machine learning models have advanced the molecular understanding of biological pathways to enable more precise and accurate predictive models. At a minimum, these developments hold the promise for an acceleration in screening and drug design. Estimates are that development timelines might be cut by 30% – 80%.

Timeline of Major Protein Sequencing Models

Source: Stanford RAISE Health, BOND

There were two recent venture financings, among many similar announcements, which underscore the promise of AI models in drug discovery, and potentially removing or reducing the need for extensive animal testing. Vivodyne marries its robotics human tissue manufacturing platform with an array of AI-generated clinically predictive human datasets for novel molecular insights. Tahoe Therapeutics is building foundational datasets to train its Virtual Cell Model that will map one billion single-cell datapoints with one million drug-patient interactions.

Last year $36.3 billion was invested in 1,825 ventured-backed biotech deals. Nearly lost among all this activity is a small corner of the biotech sector that is focused on animal therapeutics with only $0.2 billion invested in 39 animal biotech deals. Perhaps only coincidentally, this downward trend mirrors the pet adoption trend at the outset of the pandemic. Ironically, lab animals are presumably still used in animal biotech development processes. Along with long development timelines and a series of relatively small market opportunities due to short pet lifespans, the absolute dearth of investor liquidity in the animal health sector has kept a tight leash on investment activity.

Animal Biotech Investment Activity

Source: Pitchbook

Arguably, AI-driven therapeutic advances may occur sooner in animal health given the lack of patient privacy concerns and fewer onerous regulatory hurdles. For example, a company called Loyal has raised $135 million over several years to develop drugs to improve longevity for dogs through more precise targeting of metabolic and hormonal imbalances associated with aging. If the company is successful with canines, the longer-term plan envisions human longevity drugs, thus another possible example of drug success first in animals.

The American Pet Products Association estimates that Americans will spend $157 billion this year on their pets, of which nearly $55 billion will be spent on pet care and other related services (~1.5x more than was invested in the biotech sector). Just before the pandemic in 2019, the total spent on pets was $97 billion. This extraordinary growth contributed to both an increase in the number of veterinarians and vet practices (130.4k and 86.3k, respectively), much of which is in the Southeast and West Coast.

Notwithstanding that growth, there is still thought to be a significant shortage of providers as the industry struggles to keep pace with the number of pets. Ten years ago there were 105.4k veterinarians across 66.8k practices.

Number of Veterinarian Practices (2012-2021)

Source: U.S. Census Bureau

According to the American Association of Veterinarian Medical Colleges, there are only 33 accredited veterinarian colleges to address this shortage. The Bureau of Labor Statistics estimates that veterinarians earn $119k annually. Given that the number of years in school and levels of debt are comparable to physicians, compensation will remain a major impediment to solving this problem.

According to the U.S. Postal Service, there were more than 5,800 dog bites on mail carriers in 2023, with 727 of those encounters occurring in California alone (it is a big state though). Florida registered 193 bites and yet, according to a recent Forbes Advisor survey of 10k dog owners, Florida was declared to have the “Most Spoiled Dog Owners” as 43.5% of respondents reported pushing their dogs in strollers.

And please join us for our next quarterly Expert Roundtable Series webinar on October 7, 2025, at noon ET. And subscribe here to follow other news and insights from Flare Capital Partners.

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