WEBVTT - Trump Says NATO Should Down Russian Jets Breaching Airspace at UN General Assembly

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<v Speaker 1>Bloomberg Audio Studios, Podcasts, radio News. This is Bloomberg Business

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<v Speaker 1>Week Daily reporting from the magazine that helps global leaders

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<v Speaker 1>stay ahead with insight on the people, companies, and trends

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<v Speaker 1>shaping today's complex economy, plus global business, finance and tech

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<v Speaker 1>news as it happens. The Bloomberg Business Week Daily Podcast

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<v Speaker 1>with Carol Masser and Tim Stenebek on Bloomberg Radio.

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<v Speaker 2>Geopolitics and the world at large certainly a focal point

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<v Speaker 2>for US makes sense with the You and General Assembly

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<v Speaker 2>underway here in New York City. We did have some

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<v Speaker 2>comments from President Donald Trump out on his social media

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<v Speaker 2>platform saying, I think Ukraine, with the support of the

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<v Speaker 2>European Union, is in a position to fight and win

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<v Speaker 2>all of Ukraine back in its original form. This is

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<v Speaker 2>coming after President Trump and Ukrainian President Voldemir Zelensky met

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<v Speaker 2>on the sidelines of the You and General Assembly earlier Tuesday.

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<v Speaker 2>Earlier today, let's see what Michelle jem Risco has to say.

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<v Speaker 2>She's Bloomberg White House, a national security editor. She's out

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<v Speaker 2>there in our DC News bureau. Michelle, when it comes

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<v Speaker 2>to the relationship with the US in Ukraine, it goes

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<v Speaker 2>back and forth here.

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<v Speaker 3>What's the read on this?

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<v Speaker 4>Yeah, well, certainly goes back and forth, and as we

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<v Speaker 4>all know, the president does like to be unpredictable. He

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<v Speaker 4>likes to kind of maintain leverage and you know, upskating

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<v Speaker 4>what his thinking might be and what his actions might be.

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<v Speaker 4>And so while this is pretty jolting and a one

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<v Speaker 4>to eighty turnabout really in terms of his comments around

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<v Speaker 4>who is best position to win this war is kind

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<v Speaker 4>of a part and parcel of what we see from

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<v Speaker 4>from Trump and his sort of transactional diplomacy and his

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<v Speaker 4>unpredictable diplomacy at that.

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<v Speaker 5>So, yeah, my jaw dropped when I saw this. Carol

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<v Speaker 5>can attest it because you know, for months we've been

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<v Speaker 5>hearing about the idea that, yes, this war could end.

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<v Speaker 5>This is coming from the president. This war could end

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<v Speaker 5>if Ukraine seeds some territory and we took that to

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<v Speaker 5>be to be land here. So this would seem like

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<v Speaker 5>a direct one point eighty How does this happen? Or

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<v Speaker 5>let me rephrase the question, Michelle, can this happen without

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<v Speaker 5>us support?

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<v Speaker 4>Well, that's certainly a high bar. I mean, I think

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<v Speaker 4>we need to also look at this through the lens

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<v Speaker 4>of what Trump is trying to achieve here. I mean,

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<v Speaker 4>obviously he's been expressing disappointment as recently as this morning

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<v Speaker 4>and as you and General Assembly a speech about Putin's behavior,

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<v Speaker 4>the Russian prison's behavior as opposed to what his Trump's

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<v Speaker 4>expectations were coming into office, as he admits he thought

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<v Speaker 4>this would be one of the easier conflicts to resolve

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<v Speaker 4>based on his relationship with Putin. That has not turned

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<v Speaker 4>out to be the case, and it's frustrating the US

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<v Speaker 4>president to the point of him kind of turning his

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<v Speaker 4>strategy on its head and now speaking as if Ukraine

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<v Speaker 4>has the upper hand in the war. So certainly some

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<v Speaker 4>strategy in that respect. But to your point, yeah, it

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<v Speaker 4>would be very tough, I think, to have this achieved

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<v Speaker 4>without the support of the direct support of the US.

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<v Speaker 4>But that is what Trump is willing to offer at

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<v Speaker 4>this point. He's saying the US was willing to continue

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<v Speaker 4>to support NATO to give the European allies the resources

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<v Speaker 4>that they need to pass on to Ukraine, but it

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<v Speaker 4>is loathed to get involved. And of course in successive administrations,

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<v Speaker 4>the US has been loads to get involved with boots

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<v Speaker 4>on the ground to help out as.

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<v Speaker 2>Well, and the President did say, you believe NATO nations

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<v Speaker 2>should shoot down Russian aircraft that violated their airspace, said

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<v Speaker 2>the US would continue to supply, as you said, the

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<v Speaker 2>alliance with weapons. This was happening as he met with

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<v Speaker 2>the Ukrainian President Zelenski following recent incursions that have certainly

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<v Speaker 2>alarmed allies when it comes to drones. He said, yes,

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<v Speaker 2>I do, the President said when asked directly by a

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<v Speaker 2>reporter if NATO allies should take down Russian aircraft during

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<v Speaker 2>his meeting on the sidelines of the UN General Assembly. Again,

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<v Speaker 2>the read on this that seems pretty pretty straightforward.

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<v Speaker 4>Essentially, Well, it's that's been an interesting developing story all day. Yeah,

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<v Speaker 4>all just in the past few hours. I mean, essentially,

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<v Speaker 4>Trump is giving his blessing for others to do what

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<v Speaker 4>he is not willing to have the US get involved in.

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<v Speaker 4>But at the same time, it's still kind of contradicts

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<v Speaker 4>or or at least is at odds with the tone

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<v Speaker 4>and tenor of what his Secretary of State Mark Rubio

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<v Speaker 4>said earlier in the day when he was asked about

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<v Speaker 4>the Polish leader's tusk, his comments on being willing to

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<v Speaker 4>shoot down a Russian aircraft and Rubio kind of dismissed

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<v Speaker 4>that and had a kind of a vague line around,

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<v Speaker 4>you know, diminishing that sort of prospect. But Trump now saying, yeah,

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<v Speaker 4>go for it. Basically, if they're invading your airspace, NATO allies,

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<v Speaker 4>you know, take them down. So he's certainly kind of,

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<v Speaker 4>as we say, kind of ratcheting up his leverage against

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<v Speaker 4>Putin in frustration over and not talking to each other. Yeah, yeah,

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<v Speaker 4>it certainly feels that way.

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<v Speaker 5>What love that the US actually has when it comes

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<v Speaker 5>to put has been trial well certainly.

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<v Speaker 4>I mean there's a lot on the economic front. You know,

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<v Speaker 4>in successive administrations you always ask, you know, what more

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<v Speaker 4>can be sanctioned? But you know, as the Treasury Department

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<v Speaker 4>always says, and the US presidents have successively said, you know,

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<v Speaker 4>there's there's always more that we can do. And certainly

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<v Speaker 4>in Trump's portfolio, which has been very openly exposed in

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<v Speaker 4>terms of what he wants to do on policy, to

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<v Speaker 4>ratchet up against Russia, he could move a little bit

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<v Speaker 4>further to pressure other countries, including uh India and China

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<v Speaker 4>and perhaps Hungry as came up earlier today, to cease

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<v Speaker 4>their Russian energy purchases. He's already putting more pressure on

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<v Speaker 4>European partners to do so, and saying, you know, you

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<v Speaker 4>can't be hypocritical about this. If if you want me

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<v Speaker 4>to apply these renewed penalties, you have to do it

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<v Speaker 4>yourself as well. So he's offering Trump is offered different

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<v Speaker 4>options for ratcheting up that pressure on putin Economically.

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<v Speaker 2>All right, we should keep in mind that we really

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<v Speaker 2>saw a lot of unity at the most recent FED meeting.

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<v Speaker 3>Some dissenters the meeting beforehand.

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<v Speaker 2>Meantime, if you're at the UN this morning, there were

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<v Speaker 2>no calls for unity. Instead, President Trump sailed the United

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<v Speaker 2>Nations and other countries in a grievance laden's speech that

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<v Speaker 2>accused the world body of offering nothing but empty words,

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<v Speaker 2>labeled climate change a con job, and warned open borders.

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<v Speaker 3>Risks destroying nations.

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<v Speaker 2>You also criticized the organization that housed his morning address.

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<v Speaker 6>I ended seven wars dealt with the leaders of each

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<v Speaker 6>and every one of these countries and never even received

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<v Speaker 6>a phone call from the United Nations offering to help

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<v Speaker 6>in finalizing the deal. What is the purpose of the

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<v Speaker 6>United Nations? The UN is such tremendous potential. I've always

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<v Speaker 6>said it. It has such tremendous, tremendous potential. But it's

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<v Speaker 6>not even coming close to living up to that potential

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<v Speaker 6>for the most part, at least for now. All they

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<v Speaker 6>seem to do is write a really strongly worded letter

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<v Speaker 6>and then never follow that letter up. It's empty words,

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<v Speaker 6>and empty words don't solve war.

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<v Speaker 2>That, of course, was President President Trump. Excuse me, addressing

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<v Speaker 2>the UN General Assembly this morning? Do you want to

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<v Speaker 2>mention a headline crossing President Trump to meet with the

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<v Speaker 2>head of France, mister Macron, and also the head of

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<v Speaker 2>Uzbekistan while in New York City? So these headlines are

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<v Speaker 2>going to continue to come with more in the President's spech.

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<v Speaker 3>You want to go write to it.

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<v Speaker 2>Josh wing Grove is in the House, not in DC.

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<v Speaker 2>He's Bloomberg, new senior White House correspondent.

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<v Speaker 3>Josh. You cover the president all his twists and turns.

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<v Speaker 3>This was an interesting speech.

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<v Speaker 7>It was it's great to be here, great to happen

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<v Speaker 7>person is a rare treat for us here. Look, the

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<v Speaker 7>Trump Show hits the road every once in a while,

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<v Speaker 7>and you know, the aperture opens and welcome, Welcome to

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<v Speaker 7>the second term. You know, he hit a lot of

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<v Speaker 7>themes that he'd hit previously in this, although probably more

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<v Speaker 7>strongly than in the past. Basically, he sort of assailed

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<v Speaker 7>the UN over as you mentioned, climate and immigration is

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<v Speaker 7>two big topics, going so far as to basically completely

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<v Speaker 7>dismiss the notion of climate change as a hoax, but

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<v Speaker 7>also on immigration, saying that it's the single biggest political

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<v Speaker 7>issue of our era. So trying to draw the draw

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<v Speaker 7>line in the sound. But Trump being Trump, he talked

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<v Speaker 7>about the teleprompter not working. This was sort of a

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<v Speaker 7>bit of his in the campaign. Let's just say it's

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<v Speaker 7>open to interpretation whether that was actually the case or not.

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<v Speaker 7>The uens that the teleprompter was working fine, of course

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<v Speaker 7>was yeah, But then was griping about the escalator.

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<v Speaker 5>That was fine, that.

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<v Speaker 7>Was not I can confirm the escalator was not working,

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<v Speaker 7>and then later was working. It seemed to get under

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<v Speaker 7>his skin and that's when he went off about the

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<v Speaker 7>renovation that he wished he'd done and told them, you know,

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<v Speaker 7>you could be walking on marble, you're walking on tarazzo flooring,

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<v Speaker 7>you know that, right, So you know it's it was

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<v Speaker 7>a journey a weave, as President Trump likes to say.

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<v Speaker 7>But I think it just underscores not only is long

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<v Speaker 7>standing disdain for the UN. Remember, the US is delinquent

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<v Speaker 7>right now and it's fun to support the UN. Trump

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<v Speaker 7>is given no indication that he plans to change that,

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<v Speaker 7>but also the kind of new grievances are adding on.

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<v Speaker 7>In particular, he thinks he you know, he's obviously kind

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<v Speaker 7>of gently somewhat campaigning for a Nobel prize. He talks

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<v Speaker 7>about ending seven wars and he's wondering where the UN

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<v Speaker 7>has been. He sort of wanted credit for it, said

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<v Speaker 7>they didn't get a phone call. But Trump being Trump,

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<v Speaker 7>you know, he got off stage, sat down with Gutara's

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<v Speaker 7>and then was all smiles and nice. So picker Lands,

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<v Speaker 7>I suppose.

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<v Speaker 5>Yeah, even mentioning other leaders who he had said things about,

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<v Speaker 5>but then at run into personally, essentially saying, you know,

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<v Speaker 5>I ran into this person. I can't believe to be

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<v Speaker 5>talking about this, and it's kind of for you who

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<v Speaker 5>covers Trump covers the president. It's not surprising because that's

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<v Speaker 5>the way he is. But for world leaders who are

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<v Speaker 5>sitting there, who are not necessarily accustomed to following every

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<v Speaker 5>comment that he makes, especially at the UN, this was unconventional.

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<v Speaker 7>I think that that's I think that's right to say. Yeah,

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<v Speaker 7>I mean, if you're being sort of re onboarded into

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<v Speaker 7>a Trump spech after maybe six years it had been

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<v Speaker 7>since his last one, for sure, this is going to

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<v Speaker 7>take you by storm. I do think that there are

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<v Speaker 7>things to watch that we'll make news today, for sure,

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<v Speaker 7>beyond the speech, including the bilateral with President of Zelensky,

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<v Speaker 7>which should be wrapping up just as we speak, right

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<v Speaker 7>or just has wrapped up. Trump has really shifted on

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<v Speaker 7>Zelensky a lot. He said today that it's remarkably brave

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<v Speaker 7>what the Ukrainians are doing. That is a big shift

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<v Speaker 7>in tone from January, and so that one we're watching

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<v Speaker 7>you sort of tacitly endorse the notion of NATO nations

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<v Speaker 7>shooting down Russian planes?

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<v Speaker 5>Does that have to do with the recent violations of

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<v Speaker 5>airspace that we've seen.

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<v Speaker 7>I think I personally would read that more as a

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<v Speaker 7>Trump sort of handwavy type of comment. I would not

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<v Speaker 7>read that as like an emphatic shift in US policy.

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<v Speaker 7>He sort of danced around the drone an issue. He

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<v Speaker 7>danced around it again in a separate answer today, but

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<v Speaker 7>he did say flatly yes, he thinks that NATO should

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<v Speaker 7>have the right to shoot down Russian planes, not drones,

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<v Speaker 7>if they incur on NATO airspace. So we'll see. As

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<v Speaker 7>you know, this is speaking of long time agrievmances. It

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<v Speaker 7>wasn't just the UN. NATO, of course, he has had

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<v Speaker 7>sort of a bumpy ride with but he's been more

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<v Speaker 7>pro NATO as of late, in particular touting the increased

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<v Speaker 7>defense spending pledges from Europe and Canada and other you know,

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<v Speaker 7>allies generally. So I think I think you know that one.

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<v Speaker 7>We got a lot of eyes on this Macrone meeting

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<v Speaker 7>could be interesting. He made a little bit of news

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<v Speaker 7>last night wandering the streets of New York upset about

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<v Speaker 7>the president's MOTORCN. What we can all relate to that.

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<v Speaker 5>Everybody knows a city bike is the way to go

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<v Speaker 5>during the UN General Assembly. So if only he had

0:11:45.200 --> 0:11:47.559
<v Speaker 5>a helmet, maybe would have seen the French leader on

0:11:47.640 --> 0:11:48.240
<v Speaker 5>the city.

0:11:48.000 --> 0:11:51.400
<v Speaker 7>But we can we can know lovely, Yes, yeah, we get,

0:11:51.400 --> 0:11:54.120
<v Speaker 7>but that'll be going. Trump is hosting a reception tonight.

0:11:54.120 --> 0:11:56.920
<v Speaker 7>We don't actually know who's going, so we don't know

0:11:56.920 --> 0:11:59.040
<v Speaker 7>if this is sort of a friend's only thing, like

0:11:59.120 --> 0:12:02.480
<v Speaker 7>you know, Mela and the other whatevers, or if it's

0:12:02.480 --> 0:12:04.520
<v Speaker 7>a broader thing. So we'll see. We don't know right

0:12:04.559 --> 0:12:06.240
<v Speaker 7>now whether they'll let the press in. But I'll be

0:12:06.280 --> 0:12:08.400
<v Speaker 7>there waiting, open, praying.

0:12:10.440 --> 0:12:14.200
<v Speaker 5>Hey, I'll be here outside, waiting on your city bank.

0:12:14.040 --> 0:12:14.760
<v Speaker 3>In your city bike.

0:12:15.080 --> 0:12:17.320
<v Speaker 2>I mean, against everything else that's going, we're still doing

0:12:17.360 --> 0:12:19.560
<v Speaker 2>stories about the H one B visas. I mean, there's

0:12:19.720 --> 0:12:21.679
<v Speaker 2>just so much josh when you look at the president.

0:12:21.720 --> 0:12:23.160
<v Speaker 2>I don't know how you guys do it, because there's

0:12:23.160 --> 0:12:26.720
<v Speaker 2>so much coming at you top of the White House

0:12:26.760 --> 0:12:30.000
<v Speaker 2>agenda right now, because sometimes I feel like, watch here, guys,

0:12:30.000 --> 0:12:32.520
<v Speaker 2>but don't look at here, which is maybe something impactful.

0:12:32.600 --> 0:12:34.880
<v Speaker 2>I don't know how are you sussing out kind of

0:12:34.880 --> 0:12:36.920
<v Speaker 2>what matters right now when it comes to the White House.

0:12:37.000 --> 0:12:39.160
<v Speaker 7>I mean Trump always likes to flood the zone. That's

0:12:39.400 --> 0:12:41.880
<v Speaker 7>been a consistent theme throughout his presidencies. I think on

0:12:41.960 --> 0:12:43.920
<v Speaker 7>the H one B thing, this is a big change

0:12:44.040 --> 0:12:46.360
<v Speaker 7>and it's a little unclear to me whether they're shifting

0:12:46.400 --> 0:12:48.880
<v Speaker 7>it on the fly. Remember they have their big announcement Friday.

0:12:48.920 --> 0:12:52.800
<v Speaker 7>Everyone's brain's exploded on Saturday. They started to, let's say detail.

0:12:53.000 --> 0:12:55.640
<v Speaker 7>Critics might say, walk back some of the things. For instance,

0:12:55.640 --> 0:12:58.080
<v Speaker 7>Secretary of Latini said things on Friday that have not

0:12:58.360 --> 0:13:01.679
<v Speaker 7>ultimately been the policy. And today the new development is

0:13:01.679 --> 0:13:03.680
<v Speaker 7>sort of getting rid of the lottery system. We knew

0:13:03.760 --> 0:13:06.480
<v Speaker 7>that was happening. Trumpet signaled before the whole one hundred

0:13:06.520 --> 0:13:09.280
<v Speaker 7>thousand dollars fee thing that that was happening. But this

0:13:09.360 --> 0:13:11.960
<v Speaker 7>is a you know, huge change, and so they you know,

0:13:12.000 --> 0:13:14.839
<v Speaker 7>whether it's impact on the tech sector, on healthcare, all

0:13:14.880 --> 0:13:16.520
<v Speaker 7>this is really up in the air right now. And

0:13:16.559 --> 0:13:18.640
<v Speaker 7>it's you know, part and parcel obviously with a complete

0:13:18.640 --> 0:13:22.800
<v Speaker 7>overhaul of the American immigration system as he sees it. So,

0:13:23.120 --> 0:13:25.480
<v Speaker 7>you know, people that have each one these now are

0:13:25.520 --> 0:13:27.160
<v Speaker 7>breathing a sigh of relief because there was a moment

0:13:27.200 --> 0:13:28.599
<v Speaker 7>there where they were like, oh, shoot, we got to

0:13:28.600 --> 0:13:30.920
<v Speaker 7>get back on us soil, you know, in hours. But

0:13:30.920 --> 0:13:33.559
<v Speaker 7>it doesn't look like that's the case. So for now,

0:13:33.600 --> 0:13:34.880
<v Speaker 7>that's the shiny thing we're looking at it.

0:13:34.880 --> 0:13:37.280
<v Speaker 2>So while you're here in town. Come back, yes, Josh

0:13:37.360 --> 0:13:40.040
<v Speaker 2>wing Grove. He is Bloomberg News Senior White House correspondent, Josh.

0:13:40.080 --> 0:13:41.000
<v Speaker 2>Thank you as oways.

0:13:41.960 --> 0:13:44.760
<v Speaker 5>Stay with us. More from Bloomberg Business Week Daily coming

0:13:44.840 --> 0:13:50.960
<v Speaker 5>up after this.

0:13:50.960 --> 0:13:54.800
<v Speaker 8>This is the Bloomberg Business Week Daily Podcast. Listen live

0:13:54.920 --> 0:13:57.600
<v Speaker 8>each weekday starting at two pm Eastern up on Apple

0:13:57.679 --> 0:14:00.720
<v Speaker 8>car Play and the Android Auto with the Bloomberg Business app.

0:14:00.800 --> 0:14:03.560
<v Speaker 8>You can also listen live on Amazon Alexa from our

0:14:03.600 --> 0:14:07.720
<v Speaker 8>flagship New York station, Just Say Alexa played Bloomberg eleven thirty.

0:14:09.720 --> 0:14:13.200
<v Speaker 5>Federal agents dismantled a network of devices in the New

0:14:13.280 --> 0:14:15.800
<v Speaker 5>York area that was used to threaten senior US government

0:14:15.800 --> 0:14:18.640
<v Speaker 5>officials and bore signs of foreign involvement. This according to

0:14:18.679 --> 0:14:21.920
<v Speaker 5>the US Secret Service, agents discovered more than three hundred

0:14:21.960 --> 0:14:26.400
<v Speaker 5>simcard servers and one hundred thousand simcards in several locations

0:14:26.400 --> 0:14:28.800
<v Speaker 5>within a thirty five mile radius of New York City.

0:14:28.960 --> 0:14:32.000
<v Speaker 5>That's according to a statement on Tuesday. The Secret Service

0:14:32.040 --> 0:14:35.160
<v Speaker 5>moved quickly, given that any attack could have severely disrupted

0:14:35.200 --> 0:14:37.480
<v Speaker 5>New York at a time when world leaders are gathering

0:14:37.760 --> 0:14:40.880
<v Speaker 5>in the city for a meeting of the UN General Assembly.

0:14:41.360 --> 0:14:43.920
<v Speaker 5>I want to bring in Jennifer Ubank. She's the founder

0:14:44.080 --> 0:14:46.640
<v Speaker 5>of and a Man, a strategic advisor. She works with

0:14:46.640 --> 0:14:50.240
<v Speaker 5>companies on cyber resilience, geopolitical risk, and more. She's also

0:14:50.240 --> 0:14:53.880
<v Speaker 5>a former Deputy director of the CIA for Digital Innovation.

0:14:54.000 --> 0:14:57.160
<v Speaker 5>She joins us from Virginia. Jennifer, good to have you

0:14:57.360 --> 0:14:59.760
<v Speaker 5>back with us this afternoon. I want to talk about

0:15:00.160 --> 0:15:03.520
<v Speaker 5>what the Secret Service discovered here. What does an attack

0:15:03.640 --> 0:15:06.160
<v Speaker 5>like this mean, or a potential attack like this mean?

0:15:06.200 --> 0:15:08.120
<v Speaker 5>What would be the goal of something like this? What's

0:15:08.160 --> 0:15:09.040
<v Speaker 5>your view?

0:15:09.760 --> 0:15:12.360
<v Speaker 9>Wow, thanks for the invitation today, and man, there's never

0:15:12.440 --> 0:15:15.920
<v Speaker 9>a dull day in national security or cyber is there?

0:15:16.400 --> 0:15:20.240
<v Speaker 9>And today's obviously no exception. So what I'd say is

0:15:20.560 --> 0:15:26.200
<v Speaker 9>this is quite literally unprecedented activity in its scale, and

0:15:26.840 --> 0:15:29.960
<v Speaker 9>I would say audacity right just that you cited all

0:15:30.000 --> 0:15:33.640
<v Speaker 9>the figures in its eye watering. What would have gone

0:15:33.640 --> 0:15:36.600
<v Speaker 9>into planning such an activity? And so great question to

0:15:36.640 --> 0:15:40.520
<v Speaker 9>start with is why what is that for? And I

0:15:40.520 --> 0:15:42.360
<v Speaker 9>think officials who have been working on this have very

0:15:42.400 --> 0:15:49.040
<v Speaker 9>smartly been cautious about attribution so quickly because they're still investigating.

0:15:49.400 --> 0:15:51.400
<v Speaker 9>But I think you can look at it as maybe

0:15:51.480 --> 0:15:55.040
<v Speaker 9>three or three different bins. So there first there's disruption

0:15:56.040 --> 0:16:01.320
<v Speaker 9>this network. This technology could have taken out cellular communications,

0:16:01.560 --> 0:16:07.600
<v Speaker 9>emergency communications, and enabled you encrypted communications amongst various actors.

0:16:08.280 --> 0:16:13.960
<v Speaker 9>So disruption would have been one possible explanation. Another is threats.

0:16:14.120 --> 0:16:16.600
<v Speaker 9>I mean, it seems like a lot of technology for that,

0:16:16.680 --> 0:16:20.960
<v Speaker 9>but there are some anecdotal reports of threats against US

0:16:21.000 --> 0:16:23.880
<v Speaker 9>officials being made from some of these devices and through

0:16:23.880 --> 0:16:26.960
<v Speaker 9>these means. And then the third one, you know, could

0:16:27.000 --> 0:16:31.600
<v Speaker 9>be some sort of criminal enterprise or clandestine network operating

0:16:31.640 --> 0:16:36.200
<v Speaker 9>on a large scale. And certainly the timing around the

0:16:36.280 --> 0:16:39.360
<v Speaker 9>one general assembly, the location of the equipment, all of

0:16:39.400 --> 0:16:43.600
<v Speaker 9>that suggests something more. And be very eager to see

0:16:43.640 --> 0:16:45.800
<v Speaker 9>what officials start to say as they come up with

0:16:45.840 --> 0:16:46.960
<v Speaker 9>more details.

0:16:46.520 --> 0:16:48.400
<v Speaker 2>You know, Jennifer, when something like this happens, how do

0:16:49.040 --> 0:16:54.200
<v Speaker 2>they know that it's signs of foreign involvement versus domestic involvement.

0:16:55.280 --> 0:16:58.960
<v Speaker 9>Yeah, that's a really great question, and there's there's been

0:16:58.960 --> 0:17:01.960
<v Speaker 9>a speculation in there, because, as I mentioned, officials are

0:17:02.000 --> 0:17:05.040
<v Speaker 9>being quite close lipped at this point because they're deep

0:17:05.080 --> 0:17:08.800
<v Speaker 9>into investigating to get the details. But there have been

0:17:08.840 --> 0:17:13.560
<v Speaker 9>anecdotal reports of some sign ups of connection between actors

0:17:13.720 --> 0:17:17.320
<v Speaker 9>using this stuff and at least somebody in a foreign

0:17:17.320 --> 0:17:21.199
<v Speaker 9>official position. You know, I think it's really important not

0:17:21.359 --> 0:17:24.080
<v Speaker 9>to go too far down that avenue of speculation. But

0:17:24.840 --> 0:17:27.280
<v Speaker 9>they'll be looking. Investigators will be looking for these kinds

0:17:27.320 --> 0:17:33.120
<v Speaker 9>of connections because of course the digital footprint is out

0:17:33.160 --> 0:17:35.800
<v Speaker 9>there to be investigated. So they'll be combing through that

0:17:36.480 --> 0:17:40.600
<v Speaker 9>using probably technical tools, using AI, using link analysis, using

0:17:40.600 --> 0:17:42.160
<v Speaker 9>all sorts of things to see if they can put

0:17:42.160 --> 0:17:45.240
<v Speaker 9>together a picture of who might be communicating with whom

0:17:45.280 --> 0:17:48.000
<v Speaker 9>through this system that would help them understand who might

0:17:48.080 --> 0:17:48.720
<v Speaker 9>be behind it.

0:17:48.840 --> 0:17:51.320
<v Speaker 2>Matt McCool, the Special Agent in charge of the Secret

0:17:51.359 --> 0:17:53.560
<v Speaker 2>Services New York Field Office, said the seizure was the

0:17:53.640 --> 0:17:56.280
<v Speaker 2>largest operation of its kind the agency had undertaken.

0:17:56.400 --> 0:17:57.920
<v Speaker 3>I mean size and scope.

0:17:58.040 --> 0:18:01.040
<v Speaker 2>I mean, I'm assuming that there's stuff going on all

0:18:01.119 --> 0:18:04.280
<v Speaker 2>the time between nations and so on, but give us

0:18:04.280 --> 0:18:08.240
<v Speaker 2>an idea. I mean, how big this operation seemed to be.

0:18:09.359 --> 0:18:14.560
<v Speaker 9>Yeah, it's almost unimaginable, right, just the volume, the scope,

0:18:14.600 --> 0:18:17.879
<v Speaker 9>and you cited the metrics up front. So three hundred

0:18:18.000 --> 0:18:21.320
<v Speaker 9>SIM servers, one hundred thousand SIM cards, all kind of

0:18:21.320 --> 0:18:26.239
<v Speaker 9>spread across a region. That is unprecedented. It really is.

0:18:26.280 --> 0:18:28.200
<v Speaker 9>And I think the word I used at the beginning

0:18:28.280 --> 0:18:32.000
<v Speaker 9>was it's audacious as well. It truly is, and so

0:18:32.960 --> 0:18:36.400
<v Speaker 9>having come out of the world of intelligence for decades,

0:18:36.880 --> 0:18:40.920
<v Speaker 9>I have never seen an activity like this. So I'm

0:18:40.920 --> 0:18:43.040
<v Speaker 9>going to be tracking this one very closely. Really want

0:18:43.119 --> 0:18:46.680
<v Speaker 9>to understand a kind of how it was done. Obviously

0:18:46.720 --> 0:18:49.760
<v Speaker 9>why it was done with the potential impact could have been.

0:18:50.280 --> 0:18:54.280
<v Speaker 9>But bravo to all of the law enforcement and national

0:18:54.320 --> 0:18:57.920
<v Speaker 9>security officials who work together to thwart this, because who

0:18:57.920 --> 0:19:00.200
<v Speaker 9>knows which path it could have taken. Was it to

0:19:00.200 --> 0:19:02.240
<v Speaker 9>be disruption, which would have been you know, real pain

0:19:02.440 --> 0:19:07.200
<v Speaker 9>and hu the word. We couldn't have facilitated threats? Could

0:19:07.240 --> 0:19:09.879
<v Speaker 9>it have launched some other criminal activity? We don't know.

0:19:10.000 --> 0:19:11.600
<v Speaker 5>Yeah, I think the question is to what end, Like,

0:19:11.600 --> 0:19:13.560
<v Speaker 5>what would be the purpose of, you know, messing with

0:19:13.600 --> 0:19:16.320
<v Speaker 5>a communication system such as that. One question that I

0:19:16.359 --> 0:19:20.560
<v Speaker 5>have is about the communication of this, of this terror

0:19:20.600 --> 0:19:24.119
<v Speaker 5>plot or alleged terror plot that was thwarted, and why

0:19:24.240 --> 0:19:27.360
<v Speaker 5>the Secret Service communicated this, why they showed us pictures

0:19:27.720 --> 0:19:30.320
<v Speaker 5>and if that's rare to do in a situation such

0:19:30.359 --> 0:19:30.600
<v Speaker 5>as this.

0:19:32.400 --> 0:19:35.040
<v Speaker 9>It's interesting because I'm not sure we ever have had

0:19:35.080 --> 0:19:42.080
<v Speaker 9>a situation like this, so that we know, yeah, yeah, Well, yes, okay.

0:19:41.640 --> 0:19:44.480
<v Speaker 3>Because they did the great reveal there.

0:19:44.320 --> 0:19:45.760
<v Speaker 9>We go, There we go. This is the first that

0:19:45.840 --> 0:19:48.239
<v Speaker 9>was ever revealed. But I'm going to suggest that this

0:19:48.320 --> 0:19:51.600
<v Speaker 9>is this is unique in its nature in terms of

0:19:51.640 --> 0:19:52.560
<v Speaker 9>the scale and the scope.

0:19:52.640 --> 0:19:54.760
<v Speaker 5>But is it unique to communicate? Is it unique to

0:19:54.760 --> 0:19:57.359
<v Speaker 5>communicate a win such as this? Does a lot of

0:19:57.359 --> 0:20:00.240
<v Speaker 5>stuff happen behind the scenes that we don't know out

0:20:00.240 --> 0:20:01.880
<v Speaker 5>each and every day That keeps us safe?

0:20:02.359 --> 0:20:04.560
<v Speaker 9>Absolutely, And I'm and I have to believe this was

0:20:04.600 --> 0:20:06.520
<v Speaker 9>not as if you know, discovered that moment and then

0:20:06.520 --> 0:20:09.399
<v Speaker 9>they came out and have press release. There is a

0:20:09.480 --> 0:20:12.160
<v Speaker 9>lot of work that went to getting to this point,

0:20:12.240 --> 0:20:14.840
<v Speaker 9>I have to believe. And so one of the one

0:20:14.840 --> 0:20:17.720
<v Speaker 9>of the good things that has been emphasized in government,

0:20:17.760 --> 0:20:20.160
<v Speaker 9>certainly on the national security side and law enforcement side,

0:20:20.200 --> 0:20:23.440
<v Speaker 9>has been transparency. And so maybe we're seeing a reflection

0:20:23.560 --> 0:20:26.199
<v Speaker 9>of that. And it's always difficult because you don't have

0:20:26.280 --> 0:20:28.720
<v Speaker 9>all the details. You know, people want more detail, but

0:20:28.760 --> 0:20:31.520
<v Speaker 9>if you don't release information, then you know, people are

0:20:31.520 --> 0:20:34.800
<v Speaker 9>frustrated about that. Can I can I make one point

0:20:34.800 --> 0:20:38.080
<v Speaker 9>about this though? I think it's really important because if

0:20:38.600 --> 0:20:41.119
<v Speaker 9>it's super interesting, I'm going to be really focused on

0:20:41.160 --> 0:20:44.320
<v Speaker 9>this for for some time until it all is unraveled.

0:20:44.640 --> 0:20:49.040
<v Speaker 9>But it really does showcase that telecommunications is a frontline

0:20:49.119 --> 0:20:53.320
<v Speaker 9>national security issue right now. And so we've we've talked

0:20:53.359 --> 0:20:57.760
<v Speaker 9>previously about intrusions like Salt Typhoon, that was the massive

0:20:58.320 --> 0:21:03.800
<v Speaker 9>uh prc ansored intrusions into our telecommunications networks across the country.

0:21:05.000 --> 0:21:08.080
<v Speaker 9>We are just seeing telecommunications in various ways just right

0:21:08.119 --> 0:21:12.800
<v Speaker 9>in the crosshairs of very capable state cyber actors and

0:21:13.080 --> 0:21:15.560
<v Speaker 9>criminal networks. Now we don't know which one this is

0:21:15.680 --> 0:21:17.800
<v Speaker 9>or if it's both, We don't have any idea just yet,

0:21:17.840 --> 0:21:22.800
<v Speaker 9>but both are very very focused on telecommunications and that

0:21:22.880 --> 0:21:26.159
<v Speaker 9>has economic impacts. It has security impacts on the ground.

0:21:26.200 --> 0:21:28.960
<v Speaker 9>If we talked about nine to eleven, a nine to

0:21:28.960 --> 0:21:31.919
<v Speaker 9>one line, excuse me, nine to one one being disrupted

0:21:32.119 --> 0:21:36.920
<v Speaker 9>or other communications has business impacts across every sector. So

0:21:37.080 --> 0:21:39.479
<v Speaker 9>it's something that we really need to watch in this

0:21:39.520 --> 0:21:40.040
<v Speaker 9>coming year.

0:21:40.840 --> 0:21:43.199
<v Speaker 2>Fifteen seconds. Do we need global cooperation to stay on

0:21:43.240 --> 0:21:45.280
<v Speaker 2>top of it or we just need to have a

0:21:45.320 --> 0:21:47.200
<v Speaker 2>domestic focus on it real quickly.

0:21:47.480 --> 0:21:50.359
<v Speaker 9>Absolutely, it is global. It is a global issue. We

0:21:50.400 --> 0:21:52.280
<v Speaker 9>need to have partnerships all around the world. We need

0:21:52.280 --> 0:21:56.080
<v Speaker 9>to emphasize public private partnerships in the US industry. Companies

0:21:56.080 --> 0:21:58.360
<v Speaker 9>are going to see things that government does, but government's

0:21:58.359 --> 0:22:01.359
<v Speaker 9>going to have strategic insights and re sources that individual companies.

0:22:01.480 --> 0:22:01.960
<v Speaker 1>Yeah.

0:22:02.080 --> 0:22:05.880
<v Speaker 2>Jennifer You, Bank Marnerships founder Vandermann Strategic Advisors, joining us

0:22:05.960 --> 0:22:07.440
<v Speaker 2>from Virginia.

0:22:07.600 --> 0:22:10.400
<v Speaker 5>Stay with us. More from Bloomberg Business Week Daily coming

0:22:10.480 --> 0:22:11.440
<v Speaker 5>up after this.

0:22:15.480 --> 0:22:19.359
<v Speaker 1>You're listening to the Bloomberg Business Week Daily Podcast. Catch

0:22:19.440 --> 0:22:22.600
<v Speaker 1>us live weekday afternoons from two to five eastering. Listen

0:22:22.640 --> 0:22:26.200
<v Speaker 1>on Apple Karplay and Android Auto with the Bloomberg Business app,

0:22:26.400 --> 0:22:32.320
<v Speaker 1>or watch us live on YouTube.

0:22:30.840 --> 0:22:34.440
<v Speaker 5>Watching shares a ken view. The parent company of Tail

0:22:34.520 --> 0:22:37.119
<v Speaker 5>and All really been bouncing around quite a bit in

0:22:37.119 --> 0:22:39.840
<v Speaker 5>the last couple of days, up to two point three percent,

0:22:40.040 --> 0:22:42.679
<v Speaker 5>recouping some of Monday's drop. This is President Trump's call

0:22:42.720 --> 0:22:45.320
<v Speaker 5>for pregnant women to avoid Tail and All drue sharp

0:22:45.359 --> 0:22:48.159
<v Speaker 5>criticism from researchers to say the advice ignores decades of

0:22:48.160 --> 0:22:51.320
<v Speaker 5>evidence and could endanger mothers and babies. For more, We're

0:22:51.359 --> 0:22:54.320
<v Speaker 5>joined by Jessica Nicks, Bloomberg News health reporter. Jessica You

0:22:54.359 --> 0:22:56.560
<v Speaker 5>and the team out with a story this afternoon about

0:22:56.600 --> 0:23:00.720
<v Speaker 5>mounting confusion for patients. You all spoke to Bussians about this,

0:23:00.880 --> 0:23:02.360
<v Speaker 5>What did you find? How did they respond?

0:23:02.680 --> 0:23:07.119
<v Speaker 10>Yeah, most physicians today are just generally confused about the

0:23:07.119 --> 0:23:10.000
<v Speaker 10>guidance that's coming out. How are they going to interpret this?

0:23:10.359 --> 0:23:12.040
<v Speaker 10>But a few of them are saying, you know, we're

0:23:12.040 --> 0:23:14.520
<v Speaker 10>going to keep continuing on as normal, keep talking to

0:23:14.560 --> 0:23:17.440
<v Speaker 10>our patients about what works for them, what doesn't work

0:23:17.480 --> 0:23:18.240
<v Speaker 10>for them.

0:23:18.520 --> 0:23:20.320
<v Speaker 5>You know one thing that's interesting here, and we're going

0:23:20.400 --> 0:23:22.240
<v Speaker 5>to be speaking to doctor Todd Ivy, a fellow in

0:23:22.280 --> 0:23:26.040
<v Speaker 5>the American College of Obstetricians. In just a minute, the

0:23:26.200 --> 0:23:29.680
<v Speaker 5>organization is out with a statement that says it's irresponsible

0:23:29.720 --> 0:23:32.119
<v Speaker 5>and still what they've heard from President Trump and still

0:23:32.359 --> 0:23:36.240
<v Speaker 5>recommends tylanold during pregnancy. How atypical is it for a

0:23:36.240 --> 0:23:41.760
<v Speaker 5>professional group such as the Academy of the American College

0:23:41.800 --> 0:23:45.320
<v Speaker 5>of Obstetricians to recommend something that's counter to something that

0:23:45.359 --> 0:23:49.120
<v Speaker 5>a government body such as the HHS would suggest.

0:23:49.440 --> 0:23:51.200
<v Speaker 10>If you asked me that question a year ago, I

0:23:51.200 --> 0:23:54.359
<v Speaker 10>would say very abnormal. This year, this is like the

0:23:54.400 --> 0:23:59.000
<v Speaker 10>second or third time a American medical organization has gone

0:23:59.040 --> 0:24:02.480
<v Speaker 10>against the advice of HHS. Notably, we've seen a COG

0:24:02.840 --> 0:24:06.800
<v Speaker 10>do different advice than HHS on vaccines, specifically for pregnant

0:24:06.800 --> 0:24:08.280
<v Speaker 10>women and taking COVID vaccines.

0:24:08.320 --> 0:24:10.119
<v Speaker 2>Sorry, well, I want to put that question to doctor

0:24:10.560 --> 0:24:13.760
<v Speaker 2>Todd Ivy. He's fellow in the American College of Obstetricians,

0:24:13.800 --> 0:24:17.720
<v Speaker 2>which is the professional membership organization of obgyns, and associate

0:24:17.720 --> 0:24:20.679
<v Speaker 2>professor at Baylor College of Medicine, former president of the

0:24:20.680 --> 0:24:25.400
<v Speaker 2>Houston obgyn Society. So doctor Ivy weigh in on this.

0:24:25.760 --> 0:24:31.919
<v Speaker 2>If it's recommended that maybe pregnant patients don't use tile

0:24:32.000 --> 0:24:35.120
<v Speaker 2>and all, I don't know a recommendation from the government,

0:24:35.119 --> 0:24:35.800
<v Speaker 2>how do you read it?

0:24:35.840 --> 0:24:38.120
<v Speaker 3>Would you not recommend it to a patient?

0:24:40.240 --> 0:24:44.240
<v Speaker 11>No, actually, I would absolutely recommend it When we look

0:24:44.280 --> 0:24:46.119
<v Speaker 11>back at the data, and this has been looked at.

0:24:46.320 --> 0:24:50.080
<v Speaker 11>Remember we have over twenty years of research around this.

0:24:50.800 --> 0:24:55.520
<v Speaker 11>There has never been proven causation for cedominifit to any

0:24:55.560 --> 0:25:00.399
<v Speaker 11>neurodevelopmental disorder during pregnancy. However, we know that the uses

0:25:00.440 --> 0:25:05.280
<v Speaker 11>of ceedominefit in pregnancy for chronic pain, paint, persistent headaches,

0:25:05.680 --> 0:25:11.440
<v Speaker 11>and particularly fever reduction are incredibly important and not dealing

0:25:11.480 --> 0:25:15.240
<v Speaker 11>with those issues can lead to additional complications your in pregnancy.

0:25:15.480 --> 0:25:17.040
<v Speaker 2>One thing I want to ask you doctor Ivy, And

0:25:17.080 --> 0:25:20.400
<v Speaker 2>I've seen this certainly in the obgyn area that your

0:25:20.920 --> 0:25:25.560
<v Speaker 2>medical malpractice insurance is off the charts, And I'd had

0:25:25.680 --> 0:25:28.080
<v Speaker 2>obgyn who talked about a million dollars a year and

0:25:28.119 --> 0:25:32.240
<v Speaker 2>gave up the ob part of it because it was

0:25:32.280 --> 0:25:34.919
<v Speaker 2>so expensive. What I'm curious about, though, is if you

0:25:34.920 --> 0:25:38.600
<v Speaker 2>have a government saying maybe you shouldn't do this, does

0:25:38.600 --> 0:25:42.040
<v Speaker 2>this potentially put you guys in a legal situation or

0:25:42.119 --> 0:25:45.520
<v Speaker 2>legal quandary where you could be more of a target

0:25:45.520 --> 0:25:47.360
<v Speaker 2>if something bad happens.

0:25:48.920 --> 0:25:51.640
<v Speaker 11>Well, that would be a concern for any of this. However,

0:25:52.520 --> 0:25:54.440
<v Speaker 11>I think it's important to really you know what I'm saying.

0:25:54.440 --> 0:25:57.000
<v Speaker 2>If the government's coming out saying maybe you shouldn't do this,

0:25:57.600 --> 0:26:00.360
<v Speaker 2>and you guys say, Nope, this makes sense. You've seen

0:26:00.359 --> 0:26:03.600
<v Speaker 2>the research, the study, and then something goes astray. Is

0:26:03.640 --> 0:26:06.159
<v Speaker 2>there a kind of you know, a new twist in

0:26:06.240 --> 0:26:08.440
<v Speaker 2>all of this now and how you might approach something.

0:26:08.480 --> 0:26:10.440
<v Speaker 2>Are you still going to say, Nope, it makes sense,

0:26:10.480 --> 0:26:11.119
<v Speaker 2>I'm going to do it.

0:26:12.240 --> 0:26:14.879
<v Speaker 11>Well, you would have to prove causation, okay, and I

0:26:14.920 --> 0:26:18.720
<v Speaker 11>don't think that's able to be proven, and looking at

0:26:18.800 --> 0:26:25.040
<v Speaker 11>the highest quality data, the best study designs it's never

0:26:25.119 --> 0:26:28.199
<v Speaker 11>been shown to be linked, and so I don't think

0:26:28.280 --> 0:26:31.600
<v Speaker 11>that would stand. Certainly, that would be a concern because

0:26:31.600 --> 0:26:34.120
<v Speaker 11>we always want to do the right thing. That's really

0:26:34.200 --> 0:26:39.280
<v Speaker 11>important to us, you know, but I think it would

0:26:39.280 --> 0:26:40.359
<v Speaker 11>be difficult to prove.

0:26:41.320 --> 0:26:45.320
<v Speaker 10>Well, speaking doctor ivy of the causation doesn't always equal

0:26:45.359 --> 0:26:48.120
<v Speaker 10>association in some of these studies. Talk to us about

0:26:48.119 --> 0:26:50.240
<v Speaker 10>some of the studies that the Trump administration pointed to

0:26:50.560 --> 0:26:54.679
<v Speaker 10>yesterday as the reason to come out with these new recommendations.

0:26:56.400 --> 0:26:58.800
<v Speaker 11>Well, you know, there's there's been questions around this for

0:26:58.840 --> 0:27:02.360
<v Speaker 11>a long time, and what we've seen. Even the Society

0:27:02.400 --> 0:27:05.439
<v Speaker 11>for Maternal Fetal Medicine and the FDA itself in twenty

0:27:05.480 --> 0:27:09.760
<v Speaker 11>seventeen and twenty fifteen did reviews and did not find

0:27:09.920 --> 0:27:14.399
<v Speaker 11>any causation. However, there was a consistent statement that was

0:27:14.440 --> 0:27:19.480
<v Speaker 11>released in the journal Nature that suggested that maybe there

0:27:19.520 --> 0:27:22.760
<v Speaker 11>could be some type of link. Well, ten new studies

0:27:22.880 --> 0:27:26.919
<v Speaker 11>have been released since that time that have clearly refuted this.

0:27:28.000 --> 0:27:30.280
<v Speaker 11>The best study I think is the one released in

0:27:30.280 --> 0:27:33.600
<v Speaker 11>the Journal of the American Medical Association in twenty twenty four,

0:27:34.119 --> 0:27:39.440
<v Speaker 11>which looked at over two point five million children two

0:27:39.480 --> 0:27:44.080
<v Speaker 11>point five million, and they actually took into account some

0:27:44.119 --> 0:27:47.720
<v Speaker 11>of the confounding variables that the poorly designed studies did not,

0:27:48.320 --> 0:27:52.359
<v Speaker 11>and so they actually took siblings and matched them for

0:27:52.480 --> 0:27:56.160
<v Speaker 11>a control group, meaning one sibling would get the tailanol

0:27:56.960 --> 0:28:01.240
<v Speaker 11>in utero and one sibling would not proved there was

0:28:01.440 --> 0:28:04.080
<v Speaker 11>no relationship that was proven.

0:28:04.800 --> 0:28:07.360
<v Speaker 5>I just want to mention ken View coming out over

0:28:07.359 --> 0:28:10.840
<v Speaker 5>the weekend with a statement on this. They said, quote,

0:28:11.520 --> 0:28:13.680
<v Speaker 5>this is the parent company of Talanal quote. We believe

0:28:13.680 --> 0:28:16.359
<v Speaker 5>independent sound science clearly shows that taking a seat of

0:28:16.400 --> 0:28:19.640
<v Speaker 5>minifin does not cause autism. We strongly disagree with any

0:28:19.640 --> 0:28:23.360
<v Speaker 5>suggestion otherwise and are deeply concerned about the health risks

0:28:23.680 --> 0:28:27.480
<v Speaker 5>and confusion this poses for expecting mothers and for parents.

0:28:27.920 --> 0:28:30.800
<v Speaker 5>Doctor Ivy, the president said yesterday he suggested that pregnant

0:28:30.840 --> 0:28:34.560
<v Speaker 5>women should tough They should they should only use talent

0:28:34.640 --> 0:28:37.280
<v Speaker 5>all control of fever if they can't tough it out

0:28:37.520 --> 0:28:39.840
<v Speaker 5>from a medical perspective. And those are his words, quote

0:28:39.840 --> 0:28:42.400
<v Speaker 5>tough it out from a medical perspective, in a medical

0:28:42.440 --> 0:28:46.160
<v Speaker 5>communication perspective. And I know that medical students study medical communication.

0:28:46.480 --> 0:28:48.720
<v Speaker 5>How do you look at messaging such as that coming

0:28:48.760 --> 0:28:50.800
<v Speaker 5>from the leader of the country.

0:28:52.160 --> 0:28:56.160
<v Speaker 11>Well, I think that's very unfortunate statement. I think pregnancy

0:28:56.200 --> 0:28:59.280
<v Speaker 11>can be very difficult for some women, and I think

0:28:59.400 --> 0:29:02.520
<v Speaker 11>telling them to quote toughened it out is really a

0:29:02.520 --> 0:29:07.120
<v Speaker 11>poor approach. Now, I think before any medicine is taken

0:29:07.600 --> 0:29:11.000
<v Speaker 11>in during pregnancy, whether it's an over the counter medicine

0:29:11.040 --> 0:29:15.040
<v Speaker 11>or prescription medicine, a conversation with your healthcare provider is

0:29:15.080 --> 0:29:20.440
<v Speaker 11>in order. And if they see fit, then I think

0:29:20.600 --> 0:29:23.560
<v Speaker 11>you need to take the recommended dose for the shortest

0:29:23.560 --> 0:29:27.040
<v Speaker 11>amount of time. And again, you know, no more than

0:29:27.120 --> 0:29:28.000
<v Speaker 11>is recommended.

0:29:29.000 --> 0:29:32.120
<v Speaker 2>You know, you bring up autism, anybody brings up autism,

0:29:32.200 --> 0:29:34.280
<v Speaker 2>and it's it's a very difficult situation.

0:29:34.360 --> 0:29:35.280
<v Speaker 3>It's a spectrum.

0:29:35.440 --> 0:29:39.640
<v Speaker 2>I know individuals who have kids who are now adults,

0:29:40.120 --> 0:29:43.800
<v Speaker 2>who are artistic, and it's it's a difficult thing. And

0:29:43.880 --> 0:29:46.920
<v Speaker 2>I think we're still trying to figure out what is

0:29:46.960 --> 0:29:49.239
<v Speaker 2>the cause? What are you know, the causality, What are

0:29:49.280 --> 0:29:54.560
<v Speaker 2>the connections genetic or otherwise, I mean, what is How

0:29:54.560 --> 0:29:57.240
<v Speaker 2>do you think about autism? You know, and I'm sure

0:29:57.240 --> 0:30:00.360
<v Speaker 2>you've seen it, unfortunately in some of the flks who

0:30:00.360 --> 0:30:03.640
<v Speaker 2>have had kids. I mean, how are we It's still

0:30:03.640 --> 0:30:07.000
<v Speaker 2>there's a lot unknown, correct, And I understand everybody's looking

0:30:07.000 --> 0:30:09.280
<v Speaker 2>to try and make sense of it. But I'm just curious,

0:30:09.880 --> 0:30:13.400
<v Speaker 2>what's the smart medical thought around autism.

0:30:14.080 --> 0:30:16.480
<v Speaker 11>I think you hit the nail on the head. There

0:30:16.800 --> 0:30:19.680
<v Speaker 11>is a spectrum, there is a lot that is unknown.

0:30:19.840 --> 0:30:21.960
<v Speaker 11>There's a lot more that we need to find out

0:30:22.000 --> 0:30:24.640
<v Speaker 11>about it. You know, we know that it is a

0:30:24.720 --> 0:30:29.160
<v Speaker 11>disorder of the way people receive, process and communicate and

0:30:29.240 --> 0:30:34.880
<v Speaker 11>interact with their environment. There will probably be the cause

0:30:34.920 --> 0:30:39.200
<v Speaker 11>will probably be multifactorial, and I think we it's going

0:30:39.240 --> 0:30:42.360
<v Speaker 11>to be an interplay of how things come together. But

0:30:42.600 --> 0:30:48.240
<v Speaker 11>I think it's very unfortunate in families where a child

0:30:48.320 --> 0:30:52.920
<v Speaker 11>has autism and to indicate that the mother or the

0:30:53.000 --> 0:30:57.440
<v Speaker 11>parents did something wrong that costs this the guilt with

0:30:57.520 --> 0:31:03.400
<v Speaker 11>that would be tremendous. In my opinion, is completely completely unnecessary.

0:31:04.480 --> 0:31:07.040
<v Speaker 10>One thing that also came out of the administration yesterday

0:31:07.120 --> 0:31:10.680
<v Speaker 10>is they're now recommending this new drug called leucovin as

0:31:10.760 --> 0:31:13.800
<v Speaker 10>a potential treatment for autism. Can you tell us a

0:31:13.840 --> 0:31:16.280
<v Speaker 10>little bit about the science behind that. Why they're pointing

0:31:16.320 --> 0:31:19.240
<v Speaker 10>to this drug that's typically used for chemotherapy treatment and

0:31:19.280 --> 0:31:20.000
<v Speaker 10>pain management.

0:31:21.440 --> 0:31:24.560
<v Speaker 11>It is, it's lukavorin, and it actually is a form

0:31:25.080 --> 0:31:28.760
<v Speaker 11>a more naturally occurring form of fullic acid. You know,

0:31:28.920 --> 0:31:31.880
<v Speaker 11>folic acid has been important in pregnancy for years now.

0:31:31.920 --> 0:31:36.680
<v Speaker 11>We know that it's related to neural tube defects, you know,

0:31:37.120 --> 0:31:39.640
<v Speaker 11>or the lack of it is related to neural tube defects.

0:31:39.840 --> 0:31:44.600
<v Speaker 11>So we've always recommended fullic acid during pregnancy. And in reality,

0:31:45.000 --> 0:31:49.600
<v Speaker 11>what makes a prenatal vitamin prenatal than just a regular

0:31:49.680 --> 0:31:53.360
<v Speaker 11>vitamin is the amount of follic gas set. Now. I

0:31:53.400 --> 0:31:55.880
<v Speaker 11>think many more studies need to be done on this.

0:31:56.360 --> 0:31:59.800
<v Speaker 11>The main use of luca orn is exactly what you say,

0:32:00.080 --> 0:32:04.440
<v Speaker 11>and people who take chemotherapeutic drugs, whether it's for cancer

0:32:04.760 --> 0:32:07.920
<v Speaker 11>or whether it's for arthritis, and it can offset some

0:32:07.960 --> 0:32:10.880
<v Speaker 11>of the side effects of that, but I think it's

0:32:11.320 --> 0:32:15.800
<v Speaker 11>it's as the drug of treatment. I think much more

0:32:15.840 --> 0:32:16.880
<v Speaker 11>needs to be studied.

0:32:17.080 --> 0:32:20.840
<v Speaker 5>Well, what do we know of scientifically, and this is

0:32:20.840 --> 0:32:23.480
<v Speaker 5>to Carol's and Jessica's question too, what do we know

0:32:23.560 --> 0:32:26.360
<v Speaker 5>scientifically about the causes of autism?

0:32:28.240 --> 0:32:31.120
<v Speaker 11>Well, we know that they're like I said, it's multi factoral.

0:32:31.160 --> 0:32:34.560
<v Speaker 11>We know that there are many genetic causes. In some

0:32:34.720 --> 0:32:38.400
<v Speaker 11>of my own patients, when we've done genetic analysis, we

0:32:38.480 --> 0:32:42.719
<v Speaker 11>found different gene mutations and deletions that we know are

0:32:42.720 --> 0:32:48.040
<v Speaker 11>associated with autism. There are likely some environmental factors that

0:32:48.160 --> 0:32:51.360
<v Speaker 11>come into play as well. But our concern about some

0:32:51.440 --> 0:32:54.320
<v Speaker 11>of these studies that they based some of these decisions

0:32:54.360 --> 0:32:59.920
<v Speaker 11>on that they were poorly designed. They actually depended on

0:33:00.760 --> 0:33:05.120
<v Speaker 11>a recall of patients about how much they took, and

0:33:06.160 --> 0:33:08.880
<v Speaker 11>there's always a bias when you tried to do recall.

0:33:10.080 --> 0:33:15.080
<v Speaker 11>They had limited information on dosages and duration of exposure,

0:33:15.400 --> 0:33:19.840
<v Speaker 11>so you really cannot draw scientific conclusions from such poorly

0:33:19.880 --> 0:33:20.880
<v Speaker 11>designed studies.

0:33:22.000 --> 0:33:23.200
<v Speaker 3>I just want two things.

0:33:23.320 --> 0:33:25.920
<v Speaker 2>Luca Vorn though full of acid, I remember taking it

0:33:26.000 --> 0:33:28.360
<v Speaker 2>in a big way, So it's not really something new.

0:33:30.200 --> 0:33:33.200
<v Speaker 11>It's not new. It's not new at all. We have

0:33:33.680 --> 0:33:36.959
<v Speaker 11>learned so much about neural tube defects, which is a

0:33:37.480 --> 0:33:42.000
<v Speaker 11>defect in the development of the neural tissue in the fetus,

0:33:42.320 --> 0:33:45.840
<v Speaker 11>and we know that folic acid is incredibly important in

0:33:46.000 --> 0:33:47.480
<v Speaker 11>the proper development of that.

0:33:48.240 --> 0:33:50.360
<v Speaker 3>So I want to follow because we do know.

0:33:50.600 --> 0:33:52.920
<v Speaker 2>In the great reporting by our team of Brett Pulley,

0:33:52.960 --> 0:33:56.840
<v Speaker 2>Jessca Nixon, Madison Muller talking about these doctors at OBGYN

0:33:56.960 --> 0:33:59.560
<v Speaker 2>practices in Atlanta, fielding a lot of questions. I'm assuming

0:33:59.600 --> 0:34:04.400
<v Speaker 2>you are feeling in questions as well about all of this.

0:34:05.040 --> 0:34:09.000
<v Speaker 2>I am curious, do you feel or do doctors have

0:34:09.080 --> 0:34:15.800
<v Speaker 2>a voice in Washington and are getting time with the AHHS,

0:34:16.400 --> 0:34:19.600
<v Speaker 2>Robert F. Kennedy, the secretary, or even with the White House.

0:34:21.560 --> 0:34:24.080
<v Speaker 11>I think we've had somewhat of a difficult time doing that.

0:34:25.280 --> 0:34:29.359
<v Speaker 11>You know, it seems to be recently that some of

0:34:29.400 --> 0:34:33.160
<v Speaker 11>the scientific evidence is being ignored. I think that's very

0:34:33.239 --> 0:34:36.759
<v Speaker 11>dangerous for patients. When patients come in and ask us

0:34:36.800 --> 0:34:40.560
<v Speaker 11>about these things, you know, we share decision making is

0:34:40.600 --> 0:34:43.360
<v Speaker 11>what we call it, where we talk to the patient

0:34:43.440 --> 0:34:47.239
<v Speaker 11>about the risks of not taking a certain treatment, a

0:34:47.280 --> 0:34:51.600
<v Speaker 11>certain vaccination, a certain medication. We talk about the risks

0:34:51.600 --> 0:34:55.000
<v Speaker 11>and we talk about the benefits of each and patients,

0:34:55.200 --> 0:34:59.200
<v Speaker 11>in consultation with their healthcare providers, need to make those decisions.

0:35:00.040 --> 0:35:02.280
<v Speaker 10>Well, speaking of some of this confusion that we're seeing

0:35:02.360 --> 0:35:05.680
<v Speaker 10>coming out about tail and al and autism too, a

0:35:05.680 --> 0:35:07.920
<v Speaker 10>lot of pregnant women are now also looking at what

0:35:07.960 --> 0:35:10.600
<v Speaker 10>do we do about a COVID shot? So how can

0:35:10.719 --> 0:35:13.400
<v Speaker 10>patients look at all this confusing messaging coming out of

0:35:13.400 --> 0:35:16.719
<v Speaker 10>the administration that's in conflict with what medical doctors are

0:35:16.719 --> 0:35:19.120
<v Speaker 10>saying and how can they navigate this world right now?

0:35:20.800 --> 0:35:24.000
<v Speaker 11>Well, I think looking to your healthcare provider is the

0:35:24.040 --> 0:35:27.480
<v Speaker 11>best place to go. I think we're relying on scientists,

0:35:27.560 --> 0:35:32.960
<v Speaker 11>physicians and healthcare providers to provide the best medical evidence.

0:35:33.320 --> 0:35:37.320
<v Speaker 11>Then the highest quality medical evidence. You know, we always

0:35:37.360 --> 0:35:40.400
<v Speaker 11>say that we practice evidence based medicine in that we

0:35:40.480 --> 0:35:45.320
<v Speaker 11>do that, and as science changes, we change our recommendations.

0:35:45.880 --> 0:35:50.360
<v Speaker 11>But science hasn't changed on this. I just think someone's

0:35:50.400 --> 0:35:54.320
<v Speaker 11>statement on this has changed. And so we still recommend

0:35:54.320 --> 0:35:58.720
<v Speaker 11>the COVID vaccinations. I had one myself. We still recommend

0:35:58.760 --> 0:36:03.319
<v Speaker 11>flu shots duringnancy, we still recommend the t edapp, and

0:36:03.360 --> 0:36:08.360
<v Speaker 11>we're now recommending RSB RSV rather than the respiratory sensitial

0:36:08.440 --> 0:36:11.520
<v Speaker 11>virus vaccination during pregnancy.

0:36:11.719 --> 0:36:13.400
<v Speaker 2>One last question, do we have to be worried that

0:36:13.400 --> 0:36:16.000
<v Speaker 2>there's not going to be enough vaccines because there's kind

0:36:16.000 --> 0:36:19.279
<v Speaker 2>of interesting messaging and messaging that maybe not everybody needs

0:36:19.320 --> 0:36:20.000
<v Speaker 2>the vaccine?

0:36:21.800 --> 0:36:25.480
<v Speaker 11>Well, I hope not. That's always a concern. Supply is

0:36:25.520 --> 0:36:29.759
<v Speaker 11>always a concern. We're finding patients coming in and requesting

0:36:29.800 --> 0:36:33.040
<v Speaker 11>the COVID vaccinations and we're having to send them out

0:36:33.120 --> 0:36:37.120
<v Speaker 11>to pharmacies, and some pharmacies have them and some are not.

0:36:37.280 --> 0:36:40.120
<v Speaker 11>Some patients are having to look for them in order

0:36:40.160 --> 0:36:43.440
<v Speaker 11>to receive them. You know, I've always been a believer,

0:36:43.880 --> 0:36:46.480
<v Speaker 11>you know. I am am sixty three years old, and

0:36:46.600 --> 0:36:49.560
<v Speaker 11>I had the measles, I had the mumps, I had

0:36:49.560 --> 0:36:51.719
<v Speaker 11>the chicken pox when I was a child, and I

0:36:51.840 --> 0:36:55.120
<v Speaker 11>remember those and I remember my sister looking at my

0:36:55.200 --> 0:36:57.200
<v Speaker 11>face and saying, what are those pumps on your face?

0:36:57.560 --> 0:37:01.279
<v Speaker 11>You know, And that's how we know I was diagnosed.

0:37:02.000 --> 0:37:04.600
<v Speaker 11>You know, I received the polio vaccine when I was

0:37:04.640 --> 0:37:08.440
<v Speaker 11>a child, and so I feel like I've lived a

0:37:08.520 --> 0:37:14.040
<v Speaker 11>great life with the benefit of vaccinations. And I think unfortunately,

0:37:14.200 --> 0:37:18.040
<v Speaker 11>our memories are often short, and sometimes the younger generation

0:37:18.200 --> 0:37:21.920
<v Speaker 11>doesn't realize the benefits of what they've they've they've had.

0:37:23.000 --> 0:37:23.200
<v Speaker 6>You know.

0:37:23.360 --> 0:37:27.040
<v Speaker 11>I also remember the days of being an OBGM provider

0:37:27.440 --> 0:37:30.960
<v Speaker 11>when the pandemic first started, and seeing, you know, on

0:37:31.000 --> 0:37:35.080
<v Speaker 11>our local TV station, seeing the freezer trucks outside hospitals

0:37:35.120 --> 0:37:37.160
<v Speaker 11>in El Paso where they were placing the bodies of

0:37:37.200 --> 0:37:41.600
<v Speaker 11>people that deceased from COVID, you know, you know, hearing

0:37:41.640 --> 0:37:45.480
<v Speaker 11>the stories of nurses that left Houston and went to

0:37:45.520 --> 0:37:48.040
<v Speaker 11>New York to work, you know, in some of these

0:37:48.080 --> 0:37:52.080
<v Speaker 11>COVID units. I had several patients that did that, and

0:37:52.400 --> 0:37:55.640
<v Speaker 11>it's gut wrenching, and I really hope people will stop,

0:37:55.960 --> 0:38:00.759
<v Speaker 11>take a deep breath and really listen to the high quality,

0:38:01.120 --> 0:38:07.440
<v Speaker 11>evidence based research that's out there and pay attention to

0:38:07.480 --> 0:38:09.320
<v Speaker 11>what your healthcare providers are telling.

0:38:09.719 --> 0:38:11.640
<v Speaker 5>Well, doctor Ivy, we really appreciate you taking the time

0:38:11.640 --> 0:38:14.480
<v Speaker 5>in joining us this afternoon. That's doctor Todd Ivy, Fellow

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<v Speaker 5>in the American College of Obstetricians and Associate professor at

0:38:17.719 --> 0:38:20.640
<v Speaker 5>Baylor College of Medicine. Also former president of the Houston

0:38:20.640 --> 0:38:25.440
<v Speaker 5>Obgyn Society. Also with us Jessica Nix, our Bloomberg News

0:38:25.640 --> 0:38:28.399
<v Speaker 5>Healthcare Team. Check out her story along with the rest

0:38:28.400 --> 0:38:29.960
<v Speaker 5>of the healthcare team. You can do that on the

0:38:30.000 --> 0:38:32.720
<v Speaker 5>Bloomberg Terminal and at Bloomberg dot com.

0:38:33.080 --> 0:38:38.520
<v Speaker 1>This is the Bloomberg Businessweekdaily podcast, available on Apple, Spotify,

0:38:38.680 --> 0:38:42.760
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0:38:42.800 --> 0:38:46.960
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0:38:47.080 --> 0:38:50.880
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0:38:51.080 --> 0:38:53.960
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