Recorded across three continents (US, Europe, and China), this deep dive with James Zhao—Founder and Managing Partner of LYFE Capital—unpacks how transpacific healthcare buyouts are reshaping biotech and medtech.

A medical doctor turned investor (Monitor Group → Vivo Capital → LYFE), James shares how LYFE scaled to a global platform with USD 2B AUM and five offices, and why the next decade will be defined by a US–East Asia partnership: North America leading innovation; East Asia delivering high‑end, automated biologics and medtech manufacturing at scale.

We cover the “iceberg” under healthcare innovation—CRO/CDMO capacity, advanced manufacturing, and supply chains—plus the realities of exits and governance in China, AI as an execution lever (not just a buzzword), and LYFE’s transpacific value‑creation playbook that connects regulatory, R&D, and manufacturing across borders.

Highlights

• Transpacific thesis: enable innovation in the West with East Asia’s high‑end manufacturing, supply chain depth, and operational excellence—not cost arbitrage.
• Market contrast: US leads innovation and sets global FDA standards; China’s ecosystem enables faster, cost‑effective validation; Europe anchors with long‑cycle healthcare giants.
• East Asia hubs: Singapore, South Korea, and Japan emerging as precision medtech/biologics manufacturing centers; India scaling mid‑ to lower‑value segments and APIs.
• The “iceberg” view: Asia accounts for over 50% of global pharma CRO capacity, nearly 70% of biotech CRO, and ~30% of high‑end CDMO—crucial yet often overlooked.
• China realities: exit/liquidity remains the biggest challenge; M&A market less mature; many first‑time CEOs need governance and cycle-tested scaling support.

• AI in healthcare: practical gains in manufacturing, clinical ops, QC, and diagnostics—execution over foundation-model hype.
• LP takeaway: structural realignment of global healthcare is underway—timing matters as the next cycle of infrastructure gets rebuilt.