WEBVTT - Short-Term Debt Is Best Fixed-Income Bet: BlackRock’s Rosenberg

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<v Speaker 1>Welcome to the Bloomberg p m L Podcast. I'm pim Fox.

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<v Speaker 1>Along with my co host Lisa Bramowitz. Each day we

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<v Speaker 1>bring you the most important, noteworthy, and useful interviews for

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<v Speaker 1>you and your money, whether you're at the grocery store

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<v Speaker 1>or the trading floor. Find the Bloomberg p m L

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<v Speaker 1>Podcast on Apple Podcasts, SoundCloud, and Bloomberg dot Com. Where

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<v Speaker 1>have we come from and where are we going? Within

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<v Speaker 1>the fixed income markets? Here to tell us Jeffrey Rosenberg,

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<v Speaker 1>chief fixed income strategist at black Rock, talking about their

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<v Speaker 1>mid year investment outlook. Jeffrey, thank you so much for

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<v Speaker 1>being with us. I want to start with a statistic

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<v Speaker 1>that got my attention that the trading range of the

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<v Speaker 1>tenure treasury yield is currently the narrowest that it's been

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<v Speaker 1>in more than four decades. In other words, it's not moving.

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<v Speaker 1>We have a flat line. Does this indicate that we're

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<v Speaker 1>about to break out with yields rising sharply or falling

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<v Speaker 1>sharply in the next few months, You know, it's an

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<v Speaker 1>interesting question. You're talking about the trend line of the

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<v Speaker 1>ten year interest rates and if we've had a breakout,

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<v Speaker 1>and if there's really a breakout to talk about. It's

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<v Speaker 1>not the ten year interest rate, It's it's what's happening

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<v Speaker 1>on the shorter end of the curve. And there, Uh,

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<v Speaker 1>you had had remarkably low volatility. How low you had

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<v Speaker 1>zero volatility because it was zero interest rate policy, and

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<v Speaker 1>so you had this anchoring of interest rates, and now

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<v Speaker 1>you're significantly breaking out. You have the two year well

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<v Speaker 1>above two and a half preyway. I'm sorry to break in, Jeffy,

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<v Speaker 1>but what I'm trying to figure out is the ten

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<v Speaker 1>year treasury out because as we are seeing more volatility

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<v Speaker 1>and a breakout and doubling of two year treasury yields

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<v Speaker 1>in the past year, I'm just wondering. I mean, people

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<v Speaker 1>are looking at that ten year benchmark is sort of

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<v Speaker 1>an indicator of global growth and of sort of the

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<v Speaker 1>view of the U. S economy right now and inflation,

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<v Speaker 1>and it's going nowhere, and I'm just wondering, what's the

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<v Speaker 1>setting us up for. Well, so where we're kind of

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<v Speaker 1>between me wanting to focus on the two year and

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<v Speaker 1>you wanting to focus on the tenure, we're ending up

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<v Speaker 1>talking about the yield curve, which I was hoping to

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<v Speaker 1>avoid because that's the only thing people want to talk about.

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<v Speaker 1>Let's talk about it because it's it's important. And so, yes,

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<v Speaker 1>you and I thought you were going to split the

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<v Speaker 1>difference and talk about the five year. We could do that.

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<v Speaker 1>We can certainly do that too, But there is a difference,

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<v Speaker 1>and and and the flattening has got a lot of

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<v Speaker 1>attention and and you know, one of the important points

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<v Speaker 1>and Powell raised this in his testimony, and the set

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<v Speaker 1>has been been talking about this for a while, and

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<v Speaker 1>it's important for the listeners because you know, people get

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<v Speaker 1>focused on the what's happening to the ten year and

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<v Speaker 1>the ten years going lower and the two years going higher?

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<v Speaker 1>And is that a sign of imminent recession? And the

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<v Speaker 1>level of the difference, which is part of your question,

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<v Speaker 1>you know, it's highly influenced. It's much lower in today's

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<v Speaker 1>environment because of the role of unconventional monetary policy that

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<v Speaker 1>is happening the world over. And so we want to

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<v Speaker 1>just take that level of the difference in the curve

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<v Speaker 1>and put a little asterix on it and say, yes,

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<v Speaker 1>it's important, but we also have to recognize it's very

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<v Speaker 1>different than what we've seen historically because of that unconventional

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<v Speaker 1>monetary policy. Quantitative easing the world over, which the point

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<v Speaker 1>of which was to flatten that relationship. So we want

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<v Speaker 1>to just sort of think about that. It decreases some

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<v Speaker 1>of the concerns, doesn't eliminate them, but it it takes

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<v Speaker 1>the temperature down a bit. Phim I hear what Jeffrey

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<v Speaker 1>is trying to say, very very politely, that yes, yield

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<v Speaker 1>curve matters, but perhaps not as much as it has

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<v Speaker 1>in the past. Jeffrey, I want to ask you about

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<v Speaker 1>liquidity and specifically the relationship between the rising value of

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<v Speaker 1>the US dollar, the repatriation of corporate profits that have

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<v Speaker 1>been sitting overseas, and any constraints on dollar funding. Any thoughts. Yeah, so, um, Well,

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<v Speaker 1>for first, the dollar strength is big deal. It's a

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<v Speaker 1>big story. We've seen this before. It's an important development,

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<v Speaker 1>and you're seeing part of that about growth differentials the US.

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<v Speaker 1>We're gonna get second quarter GDP next week. In the

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<v Speaker 1>first iteration, you see the tracking estimates somewhere up towards

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<v Speaker 1>five percent. That's not a sustainable level, but the U

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<v Speaker 1>s economy is powering ahead and the rest of the

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<v Speaker 1>world's economies are not doing so well. Part of that

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<v Speaker 1>economic growth of confidence again he heard it from Powell

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<v Speaker 1>that just re emphasizes the outlook that US interest rates

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<v Speaker 1>are going to continue an upward drift. UH short interest rates,

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<v Speaker 1>the Fed policy rates, and that interest rate differential to

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<v Speaker 1>the rest of the world is another factor behind dollar strength.

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<v Speaker 1>One factor that is not behind dollar strength is repatriation.

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<v Speaker 1>It's a very misunderstood notion that repatriating UH foreign corporate

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<v Speaker 1>earnings results in dollar perch just is and the source

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<v Speaker 1>of the misunderstanding is that most of the foreign held

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<v Speaker 1>UH earnings are held in dollars. The notion of them

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<v Speaker 1>being foreign is not the currency, but rather the legal entity,

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<v Speaker 1>and so it doesn't really create a bid for for

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<v Speaker 1>for dollars. So that's a little bit misunderstood. The big

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<v Speaker 1>fundamental drivers behind the dollar appreciation, there's really those two

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<v Speaker 1>that growth in that intra st rate piece. So Jeffrey,

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<v Speaker 1>look into the Chrystal ball for us, what do you

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<v Speaker 1>think is going to be the best performing asset the

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<v Speaker 1>fixed income world in the second half. You know, It's

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<v Speaker 1>where I was kind of taking the conversation. We we

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<v Speaker 1>really like the front end of the yield curve, so

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<v Speaker 1>we're talking about shorter maturities. I'll bracket that one of

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<v Speaker 1>the three year kind of maturities. You can leak out

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<v Speaker 1>the curve a little bit, but as you do, duration

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<v Speaker 1>starts to perhaps become a little bit of a drag.

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<v Speaker 1>And if I add a bit of investment grade credit,

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<v Speaker 1>where spreads of widen and we and we don't see

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<v Speaker 1>a lot of credit risk in the next six months.

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<v Speaker 1>To undermine that outlook, you're looking at three three and

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<v Speaker 1>a half kind of yields. That's on an annual basis um,

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<v Speaker 1>so certainly six months returns will be lower than that,

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<v Speaker 1>but that will probably be one of the best performing

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<v Speaker 1>asset classes, and it's certainly one of the areas we

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<v Speaker 1>we think is the most attractive in the fixed income universe.

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<v Speaker 1>Jeff Rosenberg, thank you very much for being with us.

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<v Speaker 1>Jeff Rosenberg is the chief fixed income strategist for a

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<v Speaker 1>black Rock Investment Institute, giving us details about the black

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<v Speaker 1>Rocksen midyear investment outlook. Helsinki Summit trade negotiations Russians. Let's

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<v Speaker 1>bring in Richard Kahn. He is managing partner of Eurasia Advisors,

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<v Speaker 1>formally serving as an advisor to major Russian companies for

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<v Speaker 1>initial public offerings, also sourcing financing for Russian real estate

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<v Speaker 1>development of fluent Russian speaker, so he has a background

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<v Speaker 1>and understanding exactly the relationship between the United States and

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<v Speaker 1>Russia on a business level as well as politics. Richard,

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<v Speaker 1>thank you very much for coming into this studio. What

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<v Speaker 1>can you tell us based on your experience about the

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<v Speaker 1>Russian reaction to the Helsinki Summit. I think from the

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<v Speaker 1>Russian perspective, they are truly thrilled. They witnessed the our

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<v Speaker 1>goalie continually kicking the ball into his own goal. Um.

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<v Speaker 1>And I think at some point they're probably concerned that

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<v Speaker 1>people on the team are gonna wonder whose side he

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<v Speaker 1>is on. But from their perspective, this has been a

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<v Speaker 1>a major propaganda victory for Putin himself. He cemented control

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<v Speaker 1>in Russia and nobody there can possibly take him on.

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<v Speaker 1>At this stage. He has a free hand to go

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<v Speaker 1>after the opposition. But more importantly, they see the weakness

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<v Speaker 1>of the US. They see that, you know, what Trump

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<v Speaker 1>has done has put us at odds with our ally,

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<v Speaker 1>as is shown, he's not going to stand up for

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<v Speaker 1>our values. Um. All of that is is a huge

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<v Speaker 1>win for Russia as they try to assert greater leadership

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<v Speaker 1>in the Middle East and in the world generally. So

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<v Speaker 1>President Trump has said repeatedly it's good for the US

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<v Speaker 1>to have a constructive relationship with Russia or the two

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<v Speaker 1>biggest nuclear superpowers. We don't want war. Was anything achieved

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<v Speaker 1>that was positive for the US in the summit? Well,

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<v Speaker 1>first of all, I I fully agree with those goals personally,

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<v Speaker 1>we and I've spent my life working to help resolve

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<v Speaker 1>issues between Russia and the US and to bring the

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<v Speaker 1>countries closer together. But that's a long term process. It

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<v Speaker 1>has to be based on reality and on a recognition

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<v Speaker 1>of our different values. And that's what your age advisors

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<v Speaker 1>is about as well. Uh. And every president I think

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<v Speaker 1>you know, and certainly since the Cold War, has been

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<v Speaker 1>trying to achieve that too. Uh. But I never heard

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<v Speaker 1>anything articulated by this current president in terms of what

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<v Speaker 1>his goals actually were in the summit, other than saying

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<v Speaker 1>he wanted to have low expectations. Um. I think his

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<v Speaker 1>goals were achieved, which was to have a one on

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<v Speaker 1>one communication with his co conspirator regarding what took place

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<v Speaker 1>during the election, and to figure out how to handle

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<v Speaker 1>things now in a manner that helps Trump protect himself

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<v Speaker 1>give us some idea of the actual strength and weaknesses

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<v Speaker 1>of the Russian economy. Look, the base aggression economy is

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<v Speaker 1>out of of an oil and gas state. It has

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<v Speaker 1>other natural resources, but uh, the best way to think

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<v Speaker 1>of it is that although it tries to expand into

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<v Speaker 1>other areas, including high tech industries, it doesn't have the

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<v Speaker 1>infrastructure legally and culturally to allow people to safely invest

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<v Speaker 1>and develop businesses. Uh. So it really is run more

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<v Speaker 1>like a what I would call either a medieval empire

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<v Speaker 1>or a mafia state, where certain assets are of the

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<v Speaker 1>state are controlled by clicks and those who cooperate with

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<v Speaker 1>them do well, and the rest are either eliminated in

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<v Speaker 1>some fashion or they are basically, um invited to leave

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<v Speaker 1>the country. You're allowed to leave a country. So, Richard,

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<v Speaker 1>I want to go back to something you said that

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<v Speaker 1>President Trump was meeting with his quote co conspirator, Uh,

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<v Speaker 1>with respect to what happened during the Russian election. Obviously

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<v Speaker 1>this has not been proven yet. Uh. This is very

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<v Speaker 1>much what Robert Muller is investigating. So we don't know

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<v Speaker 1>that for a fact in any way. UM, But I

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<v Speaker 1>do want to get to something, which is the broader

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<v Speaker 1>political implication of this where you have a hardening of

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<v Speaker 1>people who are anti the president, who are trying to say, look,

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<v Speaker 1>this just shows that he's not fit for office. And

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<v Speaker 1>then you have a supporters coming out and saying, look,

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<v Speaker 1>he's trying to create peace. Uh, you don't have anything

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<v Speaker 1>on him yet. At some point this will come to

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<v Speaker 1>a head. The sides are getting increasingly angry and agitated,

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<v Speaker 1>and I'm trying to figure out, you know, what's the

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<v Speaker 1>risk that we have some kind of dnue mall that

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<v Speaker 1>is somewhat damaging on many levels here. Well, look, first,

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<v Speaker 1>you know, I make that statement regarding co conspiracy because

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<v Speaker 1>I think one we saw some of that playing out

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<v Speaker 1>in the summit itself. I also think there is plenty

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<v Speaker 1>of evidence of that in emails and other communications that

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<v Speaker 1>took place during the campaign, as well as in the

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<v Speaker 1>indictments that we've seen. I think it's going to be

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<v Speaker 1>extremely difficult for Trump and his supporters to contend that

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<v Speaker 1>he was not at the very least of where and

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<v Speaker 1>receiving support and conjunction with the campaign and cooperating with that.

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<v Speaker 1>But look, of course we're gonna wait for the Muller

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<v Speaker 1>indictments to come down and We'll see how all those

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<v Speaker 1>play out and what all the details are. But I've

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<v Speaker 1>certainly seen enough and have lived a life involved with

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<v Speaker 1>Russia to know what this is about at this stage.

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<v Speaker 1>And I see the conduct of our president and giving

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<v Speaker 1>up critical US positions and also undermining our country and

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<v Speaker 1>our alliances, all all serving as I see, at the

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<v Speaker 1>interests only of Russia in this um So where does

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<v Speaker 1>this play out look? There will always be people who

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<v Speaker 1>will pay attention only to the tweets from this president

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<v Speaker 1>and will take his side. UH. The Russians are also

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<v Speaker 1>very effective at building additional support, whether it's through the

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<v Speaker 1>n r A, religious organizations are the groups to support

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<v Speaker 1>this president. I am very concerned that at the end

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<v Speaker 1>of the day, regardless of what happens, he is going

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<v Speaker 1>to take things right to the line in terms of

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<v Speaker 1>undermining our institutions, as long as he doesn't cross over

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<v Speaker 1>it to the point where he's obviously acting in a

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<v Speaker 1>traitor of his fashion. That's what happened at the summit,

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<v Speaker 1>where he was pushing and pushing, trying to appease and

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<v Speaker 1>UH and please the Russians and protect himself by doing that.

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<v Speaker 1>But he got the backlash and realized that, Boy, I've

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<v Speaker 1>gone over the line now and my base is starting

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<v Speaker 1>to see who I really am, what I'm really about.

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<v Speaker 1>So I think it the end of the day, Uh,

0:13:01.559 --> 0:13:04.320
<v Speaker 1>we will probably find ourselves in a position where we

0:13:04.400 --> 0:13:08.319
<v Speaker 1>have strong indictments coming down and we're at that point

0:13:08.360 --> 0:13:11.760
<v Speaker 1>going to face I think some real issues about the

0:13:11.840 --> 0:13:15.079
<v Speaker 1>strength of our of our institutions in dealing with the President,

0:13:15.120 --> 0:13:17.920
<v Speaker 1>who I do not think, Uh, we'll hold back and

0:13:17.960 --> 0:13:21.199
<v Speaker 1>doing anything you possibly can to maintain power. Do you

0:13:21.240 --> 0:13:26.520
<v Speaker 1>have any comments on the idea that their Germans are

0:13:26.559 --> 0:13:32.079
<v Speaker 1>held captive by the new pipeline, the North Stream to

0:13:32.240 --> 0:13:37.160
<v Speaker 1>pipeline that would bring natural gas to Germany from Russia

0:13:37.200 --> 0:13:39.880
<v Speaker 1>that the President alluded to. I do have a view

0:13:39.880 --> 0:13:43.960
<v Speaker 1>on that. In my experience, Andrew Merkel and her team

0:13:44.040 --> 0:13:48.679
<v Speaker 1>have integrity and ethics, and I think that they understand

0:13:48.720 --> 0:13:51.520
<v Speaker 1>that although they have to have dealings with Russia, that

0:13:51.520 --> 0:13:54.440
<v Speaker 1>that does not mean that they need to give up

0:13:54.480 --> 0:13:58.360
<v Speaker 1>their ethical framework in terms of how they deal with Russia. Uh.

0:13:58.480 --> 0:14:02.079
<v Speaker 1>Having said that, I understand and that UH, certainly the

0:14:02.480 --> 0:14:05.920
<v Speaker 1>creating alternatives to the pipeline, you know, it might be

0:14:05.960 --> 0:14:09.320
<v Speaker 1>a good idea in terms of diminishing Russia's influence. But

0:14:09.400 --> 0:14:12.240
<v Speaker 1>that's just a again more of a business type of issue.

0:14:12.280 --> 0:14:16.120
<v Speaker 1>I'm not worried about that German leadership becoming like like

0:14:16.360 --> 0:14:20.200
<v Speaker 1>our current leadership. Richard thirty seconds. Russia's horde of US

0:14:20.240 --> 0:14:24.040
<v Speaker 1>treasuries plummeted in two months, ended in the end of May. Uh.

0:14:24.080 --> 0:14:27.960
<v Speaker 1>Do you know why I wouldn't. I wouldn't say that.

0:14:28.000 --> 0:14:31.120
<v Speaker 1>I know why. I have my suspicions why I think

0:14:31.160 --> 0:14:33.520
<v Speaker 1>that there is concerned that there's going to be a

0:14:33.600 --> 0:14:39.080
<v Speaker 1>greater round of sanctions against Russia. I think that, Uh,

0:14:39.120 --> 0:14:42.400
<v Speaker 1>there's a point at which Putin and Trump and those

0:14:42.440 --> 0:14:46.320
<v Speaker 1>around Trump are are overplaying their hand and they have

0:14:46.440 --> 0:14:48.440
<v Speaker 1>to expect to backlash. And we saw some of that

0:14:48.480 --> 0:14:52.560
<v Speaker 1>backlash after the summit. Richard Khn. We could go on

0:14:52.880 --> 0:14:55.840
<v Speaker 1>four hours, Richard con managing partner of eur Asia Advisors,

0:14:56.280 --> 0:14:59.520
<v Speaker 1>joining us on the fallout from the Russia U S

0:14:59.520 --> 0:15:18.840
<v Speaker 1>summit by President Trump and President of Vladimir Putin in

0:15:18.880 --> 0:15:23.760
<v Speaker 1>focus today very much the Chinese un It's been falling dramatically.

0:15:23.760 --> 0:15:28.240
<v Speaker 1>Today's fall is accelerating against the dollar now at the lowest,

0:15:28.280 --> 0:15:31.640
<v Speaker 1>the weakest versus the green back in about a year.

0:15:31.720 --> 0:15:33.880
<v Speaker 1>Joining US now is win Thin Global Head of Emerging

0:15:33.880 --> 0:15:36.560
<v Speaker 1>Markets ffx UH and when we're so glad that you

0:15:36.560 --> 0:15:39.760
<v Speaker 1>could join us. This is really an important story for today.

0:15:39.840 --> 0:15:44.920
<v Speaker 1>How concerned should investors be about this decline? And frame

0:15:44.920 --> 0:15:46.840
<v Speaker 1>it for us? Is this a is this a tool

0:15:46.880 --> 0:15:50.240
<v Speaker 1>in the trade war? Is this? Uh? Something more significant

0:15:50.280 --> 0:15:53.040
<v Speaker 1>about a slowdown in the Chinese economy and easing to

0:15:53.080 --> 0:15:57.280
<v Speaker 1>respond to it? Well, first all, thanks for having It's

0:15:57.280 --> 0:16:00.200
<v Speaker 1>always a pleasure. Um. There's lots of lots of of

0:16:00.480 --> 0:16:03.560
<v Speaker 1>factors rolling the markets right now. But I'm gonna try

0:16:03.560 --> 0:16:05.440
<v Speaker 1>and be the sort of voice of reason and say, look,

0:16:06.080 --> 0:16:08.320
<v Speaker 1>there a lot of things to worry about, but Chinese

0:16:08.360 --> 0:16:10.520
<v Speaker 1>evaluations is simply just not one of the major things

0:16:10.560 --> 0:16:14.280
<v Speaker 1>we should be worried about. Um. Why is that? Well? Look, um,

0:16:14.360 --> 0:16:16.800
<v Speaker 1>if the longest time over the year's last several years,

0:16:16.800 --> 0:16:20.320
<v Speaker 1>not decades, the US UH I m F also the

0:16:20.320 --> 0:16:23.600
<v Speaker 1>Western powers of press China to give a greater market

0:16:23.680 --> 0:16:26.720
<v Speaker 1>role to the exchange rate and lo and behold that's

0:16:26.720 --> 0:16:29.840
<v Speaker 1>what we're seeing. If you look at the UM You're

0:16:30.080 --> 0:16:32.000
<v Speaker 1>wonderful w c RS page. If you look over the

0:16:32.040 --> 0:16:35.720
<v Speaker 1>last twelve months, UM, the Chinese want is actually one

0:16:35.720 --> 0:16:38.200
<v Speaker 1>of the better uh, performing EM currencies. So if you

0:16:38.200 --> 0:16:40.520
<v Speaker 1>look at year to date, it's smacked in the middle

0:16:40.520 --> 0:16:43.720
<v Speaker 1>of the impact, down four percent year to date. My

0:16:43.880 --> 0:16:46.480
<v Speaker 1>view and as and as this for a long time,

0:16:46.560 --> 0:16:49.040
<v Speaker 1>is that that the recent weakness and you want to

0:16:49.120 --> 0:16:53.160
<v Speaker 1>simply reflecting a broad based dollar rally, EM sell off,

0:16:53.240 --> 0:16:55.520
<v Speaker 1>it's it's really trading with the rest of EM and

0:16:55.560 --> 0:16:57.280
<v Speaker 1>I think that's the sort of what we should be saying.

0:16:57.280 --> 0:17:01.840
<v Speaker 1>It's it's more market based, uh more UM being driven

0:17:01.880 --> 0:17:05.320
<v Speaker 1>by by global factors. Could you speak a little bit

0:17:05.440 --> 0:17:09.560
<v Speaker 1>about the shadow banking system that exists in China and

0:17:09.640 --> 0:17:12.480
<v Speaker 1>the efforts on the part of the Chinese government to

0:17:12.560 --> 0:17:17.080
<v Speaker 1>try to spur economic growth, specifically among small and medium

0:17:17.200 --> 0:17:21.720
<v Speaker 1>sized businesses. Yeah, you know, listen, this is you know,

0:17:21.880 --> 0:17:23.840
<v Speaker 1>we have seen this kind of going back and forth

0:17:23.880 --> 0:17:26.159
<v Speaker 1>for the last several years. So you know, look, we

0:17:26.200 --> 0:17:30.520
<v Speaker 1>know I mentioned the factors going on. China's particulous juggling

0:17:30.520 --> 0:17:33.760
<v Speaker 1>a lot of balls. Uh. They're trying to deal with

0:17:33.800 --> 0:17:37.560
<v Speaker 1>the slowdown and economy as well as sort of stresses

0:17:37.600 --> 0:17:39.240
<v Speaker 1>in the financial sector, and they've been trying to de

0:17:39.359 --> 0:17:42.000
<v Speaker 1>leverage the last several quarters. The time that we always

0:17:42.000 --> 0:17:45.280
<v Speaker 1>see is when they try and deleverage loan. Behold the

0:17:45.520 --> 0:17:48.440
<v Speaker 1>constats weekend, they get nervous and they start pushing UH

0:17:48.760 --> 0:17:51.800
<v Speaker 1>loan growth up again. So it's sort of like two

0:17:51.840 --> 0:17:54.880
<v Speaker 1>steps forward, one step back my bottom lines. I think

0:17:54.920 --> 0:17:56.760
<v Speaker 1>that you know, it's it's a sort of black box.

0:17:56.800 --> 0:18:00.359
<v Speaker 1>The financial system is understressed. We've had just had a

0:18:00.480 --> 0:18:03.919
<v Speaker 1>huge I think the fault UM one of the Chinese issuers.

0:18:03.960 --> 0:18:06.320
<v Speaker 1>I think you guys carry that story overnight. Right Well,

0:18:06.520 --> 0:18:09.879
<v Speaker 1>they're they're like twenty they've been twenty corporate bond the

0:18:09.880 --> 0:18:13.639
<v Speaker 1>faults so far in the No. I mean interestingly, I

0:18:13.680 --> 0:18:15.159
<v Speaker 1>think we want to see that cost EM. You know,

0:18:15.200 --> 0:18:17.280
<v Speaker 1>it's not just China, you know, EM and Channel took

0:18:17.320 --> 0:18:20.840
<v Speaker 1>advantage of low barring cost globally. They issued debt like

0:18:20.880 --> 0:18:23.400
<v Speaker 1>there's no tomorrow and now sort of the it's time

0:18:23.440 --> 0:18:26.880
<v Speaker 1>to pay the piper. So, Um, do I think there's

0:18:26.880 --> 0:18:29.280
<v Speaker 1>gonna be a systemic problem. No. I think that the

0:18:29.320 --> 0:18:31.960
<v Speaker 1>system is in stresses, But I don't see something sort

0:18:32.000 --> 0:18:34.760
<v Speaker 1>of huge sort of uh leave a moment for for

0:18:34.800 --> 0:18:37.560
<v Speaker 1>the China or for for the global economy. Um, when

0:18:37.600 --> 0:18:40.560
<v Speaker 1>I understand what you're saying with respect to China being

0:18:40.800 --> 0:18:42.880
<v Speaker 1>sort of lumped in with the rest of emerging markets,

0:18:42.880 --> 0:18:44.440
<v Speaker 1>and that its currency is actually one of the better

0:18:44.440 --> 0:18:50.679
<v Speaker 1>performers against developed marker competitors, or basically appears. But what

0:18:50.760 --> 0:18:54.640
<v Speaker 1>I'm struggling with is China is the world's second biggest economy.

0:18:54.880 --> 0:18:58.280
<v Speaker 1>It can't really be lumped in with much lesser economies

0:18:58.320 --> 0:19:01.000
<v Speaker 1>based on how significant it is for the world economy.

0:19:01.000 --> 0:19:03.880
<v Speaker 1>And meanwhile, you have the trade war or at least

0:19:03.880 --> 0:19:06.960
<v Speaker 1>the threat of an escalating trade or with the US,

0:19:07.200 --> 0:19:11.480
<v Speaker 1>and China is uh easing policies. It's sort of backtracking

0:19:11.520 --> 0:19:13.480
<v Speaker 1>on some of the tightening that had done based on

0:19:13.520 --> 0:19:15.560
<v Speaker 1>what you were talking about and pain was talking about.

0:19:15.800 --> 0:19:18.400
<v Speaker 1>I guess what I'm trying to understand is because as

0:19:18.440 --> 0:19:21.680
<v Speaker 1>you were saying, China such a black box. Could this

0:19:21.920 --> 0:19:25.200
<v Speaker 1>be that China's economy is slowing much more than official

0:19:25.280 --> 0:19:27.560
<v Speaker 1>data are letting on and they feel the need to

0:19:27.560 --> 0:19:31.720
<v Speaker 1>reverse policy now to counter that, Well, you know, we

0:19:31.800 --> 0:19:33.440
<v Speaker 1>go back to the age old debate. But how reliable

0:19:33.440 --> 0:19:35.560
<v Speaker 1>are there Chinese data? And something I've always looked at

0:19:35.680 --> 0:19:39.000
<v Speaker 1>as more qualitative assessment. Look, we know, maybe it's not

0:19:39.040 --> 0:19:42.000
<v Speaker 1>really growing tacks and um, but we can't sort of

0:19:42.400 --> 0:19:44.359
<v Speaker 1>use benchmarks as well it's it's a little bit slower

0:19:44.359 --> 0:19:47.000
<v Speaker 1>than was a year ago, you know, and so comparedive

0:19:47.160 --> 0:19:51.959
<v Speaker 1>of uh matters now you know to me, um, and

0:19:52.000 --> 0:19:54.440
<v Speaker 1>you're right that because it's such a large economy, it

0:19:54.440 --> 0:19:56.200
<v Speaker 1>does take a special place in that sense. It makes

0:19:56.200 --> 0:19:58.080
<v Speaker 1>me believe that they will not do anything that's going

0:19:58.080 --> 0:20:00.840
<v Speaker 1>to upset or the royal markets. You know, we saw

0:20:00.840 --> 0:20:04.000
<v Speaker 1>that back in the talks fifteen they devalued and uh,

0:20:04.119 --> 0:20:07.200
<v Speaker 1>not only the domestic investors flee and we had to

0:20:07.280 --> 0:20:09.159
<v Speaker 1>you know, had cap ouphas out of China, but you know,

0:20:09.760 --> 0:20:13.320
<v Speaker 1>the developed markets emerge, other emerging marketstop markets really felt

0:20:13.359 --> 0:20:16.440
<v Speaker 1>the pain. And I think China doesn't want to go

0:20:16.480 --> 0:20:18.080
<v Speaker 1>down that path again. You know, they've seen that it's

0:20:18.080 --> 0:20:22.119
<v Speaker 1>a very dangerous path to go through again. They're already, um,

0:20:22.160 --> 0:20:24.320
<v Speaker 1>you know, dealing with all sorts of different stresses in

0:20:24.359 --> 0:20:26.680
<v Speaker 1>the economy. I think some sort of currency crisis is

0:20:27.000 --> 0:20:28.320
<v Speaker 1>sort of the last thing they want to deal with

0:20:28.400 --> 0:20:32.040
<v Speaker 1>right now. So again, I don't see the human lines

0:20:32.080 --> 0:20:33.800
<v Speaker 1>out of line, out of you know, sort of out

0:20:33.840 --> 0:20:36.600
<v Speaker 1>of line with the moves of the rest of the world. Um.

0:20:36.640 --> 0:20:39.520
<v Speaker 1>I think they will continue to manage the currency. Remember,

0:20:39.560 --> 0:20:42.240
<v Speaker 1>it's not a floating currency. It's managed currency, but they'll

0:20:42.280 --> 0:20:44.439
<v Speaker 1>manage it within these parameters and that will they'll prevent

0:20:44.520 --> 0:20:47.720
<v Speaker 1>any sort of mass hysterical move of some sort. And

0:20:47.800 --> 0:20:50.919
<v Speaker 1>in global markets, can you do Turkey and twenty seconds

0:20:51.000 --> 0:20:55.560
<v Speaker 1>or less? H yes, I would stay stay away. Um.

0:20:55.600 --> 0:20:58.320
<v Speaker 1>You know we had Urdwan when he was VICTI, but

0:20:58.359 --> 0:21:00.000
<v Speaker 1>he put his soun in law in charge of the treasury.

0:21:00.000 --> 0:21:03.800
<v Speaker 1>In finance industry, E clipped the central bank independence. So

0:21:03.840 --> 0:21:05.840
<v Speaker 1>it's going down to pastoral, which I think is bad.

0:21:06.320 --> 0:21:10.040
<v Speaker 1>Next week we're very tunneling. Central bank meets inflation jumped

0:21:10.119 --> 0:21:11.680
<v Speaker 1>up in June. They need to hike at least a

0:21:11.720 --> 0:21:13.800
<v Speaker 1>hundred fifty basis points. Let's see if they do it

0:21:13.800 --> 0:21:15.439
<v Speaker 1>and they don't, I think we go back up. We

0:21:15.680 --> 0:21:19.480
<v Speaker 1>take dollar you want to dollar era above five? He

0:21:19.560 --> 0:21:22.760
<v Speaker 1>did it. Win Thin, Global Head of Emerging Markets FX

0:21:23.160 --> 0:21:26.800
<v Speaker 1>speaking to us about the Chinese yuan and the Turkish lira.

0:21:27.320 --> 0:21:43.879
<v Speaker 1>He's with Brown Brothers Harriman the Future of healthcare and

0:21:43.960 --> 0:21:47.359
<v Speaker 1>healthcare costs. Joining us now is Susan Duvore, the chief

0:21:47.400 --> 0:21:51.560
<v Speaker 1>executive of Premier Inc. They are based in Charlotte, North Carolina.

0:21:51.640 --> 0:21:54.480
<v Speaker 1>Susan joins us here in our eleven three, Oh studios.

0:21:54.720 --> 0:21:58.439
<v Speaker 1>Thank you very much for being here. Before we begin

0:21:58.640 --> 0:22:01.000
<v Speaker 1>in this sort of general content next of what's happening

0:22:01.000 --> 0:22:04.280
<v Speaker 1>with healthcare and healthcare pricing. Could you just offer an

0:22:04.280 --> 0:22:07.000
<v Speaker 1>example of some of the work that you're doing, and

0:22:07.040 --> 0:22:11.480
<v Speaker 1>I'm thinking most recently maybe of the Physician Enterprise Collaborative

0:22:12.200 --> 0:22:16.160
<v Speaker 1>and how Premiere works with healthcare providers, because I think

0:22:16.200 --> 0:22:21.040
<v Speaker 1>it's more than thirty eight hundred hospitals around the country. Yeah,

0:22:21.080 --> 0:22:24.560
<v Speaker 1>so Premiere works with plus and a hundred fifty other

0:22:24.600 --> 0:22:27.800
<v Speaker 1>providers like doctors, nursing home, surgery centers, this kind of thing.

0:22:28.280 --> 0:22:32.320
<v Speaker 1>Think about us as a national network of providers, the

0:22:32.480 --> 0:22:36.760
<v Speaker 1>people delivering healthcare to patients um and we are in

0:22:36.880 --> 0:22:41.040
<v Speaker 1>infrastructure to help them lower their costs, improve their quality,

0:22:41.080 --> 0:22:45.160
<v Speaker 1>improve their safety, improve their outcomes. And so in the

0:22:45.240 --> 0:22:49.800
<v Speaker 1>pharma world, for example, we aggregate their buying of drugs,

0:22:49.880 --> 0:22:54.679
<v Speaker 1>We create competitive friction between suppliers, and the inflation in

0:22:54.800 --> 0:22:57.600
<v Speaker 1>the cost of drugs that we help them negotiate is

0:22:57.640 --> 0:23:01.080
<v Speaker 1>half what the industry inflation is. So that's an example

0:23:01.240 --> 0:23:03.199
<v Speaker 1>of how Premiere works and what we're trying to do

0:23:03.240 --> 0:23:06.639
<v Speaker 1>with these health care systems. We do similar things where

0:23:06.680 --> 0:23:10.359
<v Speaker 1>we help them improve their safety, you know, lowering infection

0:23:10.480 --> 0:23:14.560
<v Speaker 1>rates in hospitals, lowering mortality in hospitals. And so it's

0:23:14.600 --> 0:23:17.320
<v Speaker 1>two sides of an equation, which is a cost reduction

0:23:17.359 --> 0:23:20.960
<v Speaker 1>side and a quality improvement side. So uh, we had

0:23:20.960 --> 0:23:23.280
<v Speaker 1>some guests on a few weeks ago who are talking

0:23:23.280 --> 0:23:27.480
<v Speaker 1>about the Indian UH system healthcare system and how the

0:23:27.560 --> 0:23:30.359
<v Speaker 1>U S could learn something from the hub, hub and

0:23:30.520 --> 0:23:33.280
<v Speaker 1>spokesmodel that they have where they have hubs that really

0:23:33.320 --> 0:23:36.480
<v Speaker 1>specialize in specific services and that are experts and then

0:23:36.760 --> 0:23:40.000
<v Speaker 1>the spokes that kind of provide provide the other services.

0:23:40.400 --> 0:23:43.560
<v Speaker 1>Have you ever recommended to any of your clients you guys,

0:23:43.880 --> 0:23:47.920
<v Speaker 1>this whole center should probably be shrunk immensely or are

0:23:48.040 --> 0:23:52.120
<v Speaker 1>cut uh and really rely more on these people for services.

0:23:52.160 --> 0:23:54.520
<v Speaker 1>What's your thought on that? Yeah, when you think about

0:23:54.520 --> 0:23:57.560
<v Speaker 1>the evolution of the health care system, Premiere has systems

0:23:57.560 --> 0:24:00.320
<v Speaker 1>of all kinds around the country. A lot of them

0:24:00.359 --> 0:24:03.679
<v Speaker 1>are integrated delivery systems. They are hub and spoke, but

0:24:03.760 --> 0:24:06.600
<v Speaker 1>we may have more of them in a market than

0:24:06.720 --> 0:24:09.719
<v Speaker 1>we long term need. And so the real question is

0:24:09.760 --> 0:24:13.880
<v Speaker 1>how do we take the services and optimize the volume

0:24:13.920 --> 0:24:18.080
<v Speaker 1>and optimize the cost performance and optimize the quality outcomes.

0:24:18.280 --> 0:24:20.680
<v Speaker 1>But yeah, we have we have a lot of markets

0:24:20.720 --> 0:24:25.600
<v Speaker 1>that have moved into that integrated delivery system model. Several

0:24:25.720 --> 0:24:30.400
<v Speaker 1>large pharmaceutical companies such as Novartis and Viser have said

0:24:30.440 --> 0:24:34.399
<v Speaker 1>that they are going to freeze drug prices. This seems

0:24:34.440 --> 0:24:37.800
<v Speaker 1>to be in response to the tweets and the comments

0:24:37.840 --> 0:24:41.159
<v Speaker 1>by President Donald Trump. Do you think that that's an

0:24:41.160 --> 0:24:45.880
<v Speaker 1>effective way to manage healthcare pricing? You know, I actually

0:24:46.000 --> 0:24:50.399
<v Speaker 1>think that the Drug Blueprint and Scott Gottlieb and the

0:24:50.480 --> 0:24:53.520
<v Speaker 1>things that he's trying to push forward with the administration

0:24:53.680 --> 0:24:57.560
<v Speaker 1>are things that are pointed in the right direction. Speed

0:24:57.640 --> 0:25:00.240
<v Speaker 1>up the approval of generics, get rid of some of

0:25:00.240 --> 0:25:03.479
<v Speaker 1>the loopholes for extending the life of a branded drug company.

0:25:03.560 --> 0:25:06.919
<v Speaker 1>I don't think anybody just saying we're going to freeze

0:25:06.960 --> 0:25:09.000
<v Speaker 1>prices for a period of time. I mean, the truth

0:25:09.080 --> 0:25:13.000
<v Speaker 1>is you've got to have market forces and competition every day,

0:25:13.040 --> 0:25:17.720
<v Speaker 1>all the time UM to actually have a sustainable, UM,

0:25:17.760 --> 0:25:21.440
<v Speaker 1>you know, managing factor for drug pricing. Do you think

0:25:21.440 --> 0:25:23.920
<v Speaker 1>that Medicare should play a more active role in negotiating

0:25:24.280 --> 0:25:28.800
<v Speaker 1>with pharmaceutical We think at Premier that Medicare should continue

0:25:28.840 --> 0:25:33.040
<v Speaker 1>to implement these value based payment programs. So you take

0:25:33.080 --> 0:25:35.919
<v Speaker 1>the delivery system, you have them own the risk of

0:25:35.960 --> 0:25:38.920
<v Speaker 1>the total cost of the patient, and then you create

0:25:39.119 --> 0:25:42.400
<v Speaker 1>you allow for market forces and competition to have the

0:25:42.480 --> 0:25:45.040
<v Speaker 1>health care system try to lower the cost of the

0:25:45.080 --> 0:25:48.120
<v Speaker 1>care that they're delivering to patients. We think the government

0:25:48.240 --> 0:25:52.520
<v Speaker 1>directly intervening in the decisions about which drugs at what

0:25:52.600 --> 0:25:56.639
<v Speaker 1>price patients will have access to will be will be

0:25:56.760 --> 0:26:01.080
<v Speaker 1>very problematic. Okay, But if the government is the one

0:26:01.119 --> 0:26:06.479
<v Speaker 1>that's ultimately paying the bill, shouldn't the payer be allowed

0:26:06.520 --> 0:26:10.320
<v Speaker 1>to negotiate prices, particularly when they are such a big

0:26:11.160 --> 0:26:13.439
<v Speaker 1>force in the market. You know, the last time I

0:26:13.480 --> 0:26:15.000
<v Speaker 1>was on the show, which was about a month ago,

0:26:15.160 --> 0:26:21.199
<v Speaker 1>I talked about employers getting directly involved with providers and

0:26:21.320 --> 0:26:24.040
<v Speaker 1>consumers in the cost of healthcare. So, if you think

0:26:24.080 --> 0:26:27.840
<v Speaker 1>about Medicare, Medicare is a payer, they are the implement

0:26:27.960 --> 0:26:31.320
<v Speaker 1>or of and they are in a sense the employer

0:26:31.400 --> 0:26:35.720
<v Speaker 1>too because these are Medicare, these are Medicare patients. So yes,

0:26:35.800 --> 0:26:38.359
<v Speaker 1>we think that they should be directly involved, but we

0:26:38.400 --> 0:26:40.359
<v Speaker 1>think the way that they ought to do it is

0:26:40.400 --> 0:26:44.800
<v Speaker 1>to go directly to the provider delivery system because that's

0:26:44.800 --> 0:26:46.879
<v Speaker 1>where the decisions are being made, and that's where you

0:26:46.960 --> 0:26:50.440
<v Speaker 1>want the decisions to be made. So create models that

0:26:50.440 --> 0:26:54.639
<v Speaker 1>that take that provider system and help them manage the

0:26:54.680 --> 0:26:57.440
<v Speaker 1>cost of the care. You know, a month ago I said,

0:26:57.440 --> 0:27:00.280
<v Speaker 1>I thought employers were getting a lot more active. Since then,

0:27:01.000 --> 0:27:03.719
<v Speaker 1>we've got JP Morgan, Amazon in Berkshire who've hired now

0:27:03.760 --> 0:27:07.400
<v Speaker 1>they're CEO. You've got a coalition of employers who are

0:27:07.440 --> 0:27:11.040
<v Speaker 1>now attacking some of the high cost procedures. Amazon bought

0:27:11.040 --> 0:27:15.119
<v Speaker 1>pill Pack. Amazon bought pill Pack. Amazon is reportedly talking

0:27:15.160 --> 0:27:18.560
<v Speaker 1>to ex Health and so these are all initiatives that say,

0:27:19.600 --> 0:27:23.000
<v Speaker 1>maybe there's an insurance company in the middle of this

0:27:23.800 --> 0:27:27.359
<v Speaker 1>that that actually isn't lowering the cost of healthcare and

0:27:27.480 --> 0:27:30.280
<v Speaker 1>isn't delivering the best clinical outcomes. I think the same

0:27:30.359 --> 0:27:32.960
<v Speaker 1>is true for the medicare world, and maybe it'll be

0:27:33.000 --> 0:27:36.919
<v Speaker 1>disintromedd it disintermediated. Unfortunately we have to leave there. Susan Divore,

0:27:37.280 --> 0:27:38.760
<v Speaker 1>thank you so much. We love having you on. It's

0:27:38.760 --> 0:27:41.520
<v Speaker 1>an important perspective. This is an important industry to keep tracking,

0:27:41.600 --> 0:27:45.000
<v Speaker 1>especially given all of the pressure to try to make

0:27:45.080 --> 0:27:48.320
<v Speaker 1>it more efficient to deliver healthcare in the US. Susan Divore,

0:27:48.359 --> 0:27:51.679
<v Speaker 1>chief executive Officer of Premier Inc. Normally based in Charlotte,

0:27:51.680 --> 0:27:53.439
<v Speaker 1>North Carolina, but joining us here in our eleven three

0:27:53.480 --> 0:27:59.280
<v Speaker 1>oh studios in New York. Thanks for listening to the

0:27:59.280 --> 0:28:02.520
<v Speaker 1>Bloomberg an L podcast. You can subscribe and listen to

0:28:02.560 --> 0:28:07.080
<v Speaker 1>interviews at Apple Podcasts, SoundCloud, or whatever podcast platform you prefer.

0:28:07.480 --> 0:28:11.080
<v Speaker 1>I'm pim Fox. I'm on Twitter at pim Fox. I'm

0:28:11.119 --> 0:28:14.400
<v Speaker 1>on Twitter at Lisa Abramo wits one. Before the podcast,

0:28:14.440 --> 0:28:17.040
<v Speaker 1>you can always catch us worldwide on Bloomberg Radio