WEBVTT - Dysfunctional Bond-Market May Be Worse Than 2008

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<v Speaker 1>Welcome to the Bloomberg Penl Podcast. I'm Paul swing you

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<v Speaker 1>along with my co host Lisa Brahmas. Each day we

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<v Speaker 1>bring you the most noteworthy and useful interviews for you

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<v Speaker 1>and your money, whether at the grocery store or the

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<v Speaker 1>trading floor. Find a Bloomberg Penl podcast on Apple podcast

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<v Speaker 1>or wherever you listen to podcasts, as well as that

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<v Speaker 1>Bloomberg dot com. Paul, We've been talking a lot about

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<v Speaker 1>the lack of liquidity in the treasury market, and I

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<v Speaker 1>wanted to give some context. Uh, it's more than thirteen

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<v Speaker 1>or fourteen trillion dollar market at this point. It is

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<v Speaker 1>considered the deepest, most liquid US bond market, and probably

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<v Speaker 1>any bond market, and it sets the rates for everything

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<v Speaker 1>from mortgages to auto loans to corporate debt and is

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<v Speaker 1>relied upon as a haven asset in tumultuous times. It

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<v Speaker 1>has not behaved that way. Yields have been all over

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<v Speaker 1>the place, jumping record amounts following record amounts, and this

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<v Speaker 1>has led to a lot of profound concerns about the

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<v Speaker 1>structure of such a crucial market to every financial instrument.

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<v Speaker 1>Jim Bianco of Bianco Research tweeted out this morning I

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<v Speaker 1>cannot emphasize enough how dysfunctional the bond market has become.

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<v Speaker 1>It is at least as bad as two thousand and eight,

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<v Speaker 1>and probably worse. The dealers are barely making bids. This

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<v Speaker 1>includes US treasuries and European sovereign bond markets are collapsing.

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<v Speaker 1>And he goes on from there, He joins us, Now,

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<v Speaker 1>I'm very glad to say from Chicago, Jim, can you

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<v Speaker 1>just get started, Why is it so concerning to see

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<v Speaker 1>this level of dysfunctionality and the treasury market? Because I

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<v Speaker 1>think it's very level. It's not reflecting the true reality

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<v Speaker 1>of where we think the fair value of decent prices

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<v Speaker 1>should be. UM, let me back up and say, what's

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<v Speaker 1>happened here in a nutshell is the virus hits. It

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<v Speaker 1>is cause markets to want to reprice to some new

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<v Speaker 1>reality that they think is coming post virus world of

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<v Speaker 1>more inflation, slower growth, lower multiples. The dealers step in

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<v Speaker 1>and they do their bid where they make markets I

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<v Speaker 1>want to sell. They're willing to buy. Everybody swamped them

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<v Speaker 1>so much selling and they bought as much as they could.

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<v Speaker 1>They can't buy anymore, and so now the market is

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<v Speaker 1>somewhat stuck. It's now not liquid. I can't buy, I

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<v Speaker 1>can't sell. There's technically some buying and selling going on,

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<v Speaker 1>but not nearly the amount that they want. The FED

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<v Speaker 1>is stepped in and said, we recognize the situation. We

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<v Speaker 1>will provide the dealers with more cash so they can

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<v Speaker 1>buy more securities. The problem is, in the post crisis world,

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<v Speaker 1>we have created a myriad of rules on the dealers

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<v Speaker 1>to not leverage themselves up expand their balance sheets by

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<v Speaker 1>taking more cash, because that was what caused the two

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<v Speaker 1>eight crisis. And it isn't just the FED saying we

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<v Speaker 1>have to get rid of our rules to let the

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<v Speaker 1>dealers do this. They have to get to b I

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<v Speaker 1>S Basil three, the fd I C and the whole

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<v Speaker 1>off of that soup of regulators to agree to it.

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<v Speaker 1>And that's not easy to do. So that so the

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<v Speaker 1>bond market is somewhat dysfunctional. So anybody that needs money prices,

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<v Speaker 1>anybody that needs to do transactions, it's becoming very difficult

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<v Speaker 1>to do it in the market, and it's not really

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<v Speaker 1>getting better. Jim, do you think there is a viable solution,

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<v Speaker 1>even if it were to be a short term solution

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<v Speaker 1>to this issue, to get us through this crisis. Well,

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<v Speaker 1>there's there's The viable solution would probably be if there

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<v Speaker 1>was some kind of a rule change that would allow

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<v Speaker 1>the dealers to expand their balance sheets. Now, the risk

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<v Speaker 1>with that is all right, here, dealers, here's more money.

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<v Speaker 1>You can now start making markets. They immediately start making

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<v Speaker 1>markets at far lower prices than we see right now,

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<v Speaker 1>which then becomes a problem. Ironically, this might be holding

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<v Speaker 1>prices higher than they would normally be. There totally prices

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<v Speaker 1>higher than they would normally be because they can't they

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<v Speaker 1>can't make those prices at much lower prices, So it's

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<v Speaker 1>not a good situation. The best situation would be that

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<v Speaker 1>the marketplace understands that we have now found some kind

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<v Speaker 1>of a limit to the virus. They now believe that

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<v Speaker 1>these prices are near fair value, and regular institutions step

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<v Speaker 1>up and say I will buy them at this price,

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<v Speaker 1>not just the dealers. That would settle things down. So

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<v Speaker 1>if you want me to say, simply, what would help

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<v Speaker 1>the market, a million tests, because a million tests would

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<v Speaker 1>help us understand the scope of this problem, because right

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<v Speaker 1>now it feels like it's just this open ended problem

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<v Speaker 1>that's just getting worse by the day. Which is why

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<v Speaker 1>these markets are so dysfunctional, and it's also making it

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<v Speaker 1>very difficult to read into some of the moves that

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<v Speaker 1>we've seen in the levels of yields that previously were

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<v Speaker 1>used as gaugs for the economy and financial conditions. I'm

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<v Speaker 1>looking right now, a listener writes in, and he wanted

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<v Speaker 1>me to ask you about one month T bills because

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<v Speaker 1>the rate has actually gone negative. We are looking at

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<v Speaker 1>in the United States, the rate for four months four

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<v Speaker 1>week T bills is now negative point oh four percent.

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<v Speaker 1>How is that possible? Considering the fact that FED chair J.

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<v Speaker 1>Powell has said that he does not want to play

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<v Speaker 1>a negative yielding policy. They did drop rates to zero,

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<v Speaker 1>but they're not planning to go negative in the near future.

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<v Speaker 1>They're not planning to go negative. But let me just

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<v Speaker 1>put it mechanically for you. A T bill is a

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<v Speaker 1>discount rate security, so you pay point six for it

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<v Speaker 1>and in a month you get one dollar. Well, there's

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<v Speaker 1>so much money exiting stocks and bonds and commodities, in

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<v Speaker 1>gold and everything else, and it needs to hide somewhere

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<v Speaker 1>that they're buying one month T bills as a placeholder

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<v Speaker 1>for that money that they're not paying over one dollar

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<v Speaker 1>to one dollar in the future, which is how you

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<v Speaker 1>wind up with negative interest rates. So it's a sign

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<v Speaker 1>of people looking for a place to put their money

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<v Speaker 1>after they've liquidated something, and they're paying big premiums for

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<v Speaker 1>them right now. Now, remember the negative interest rates are

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<v Speaker 1>like negative one or negative two basis points. They're not

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<v Speaker 1>seriously negative like we've seen um in Europe. So Jim,

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<v Speaker 1>just give us, you know, a thirty second call from

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<v Speaker 1>you on what we're seeing beginning to emerge. Uh fisth

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<v Speaker 1>scal stimulus by this White House and by Congress. What's

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<v Speaker 1>your take? Um, whatever they do is not going to

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<v Speaker 1>be enough. I joked yesterday that we started the day

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<v Speaker 1>with eight fifty billion and we ended the day at

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<v Speaker 1>one point to trillion. That that is actually growing faster

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<v Speaker 1>than the virus counts right now. And I think when

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<v Speaker 1>you start looking at what some of the European countries

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<v Speaker 1>are doing talking about nine or ten percent of their

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<v Speaker 1>GDP and stimulus, we're talking two trillion dollars plus that

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<v Speaker 1>probably will get into the ballpark range of what I

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<v Speaker 1>think is probably needed. So they're getting there, but they're

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<v Speaker 1>taking way too much time right now. Jim Bianco, thanks

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<v Speaker 1>so much for joining us. We really appreciate your thoughts there.

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<v Speaker 1>Jim Bianco, President and founder of Bianco Research getting his

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<v Speaker 1>thoughts least, It's always good to get Jim's thoughts. He's

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<v Speaker 1>been I think consistently uh let's call it, you know,

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<v Speaker 1>conservative and kind of his outlook. He's been right, he's

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<v Speaker 1>been right. Just let's just call it, call a spade

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<v Speaker 1>a spade. I mean, he basically said the fedge and

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<v Speaker 1>drop rates zero, and they did, and they did in

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<v Speaker 1>short order. And I will say the fact that I'm

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<v Speaker 1>just so struck by the idea that investors are paying

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<v Speaker 1>for the privilege to receive dollars in four weeks time

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<v Speaker 1>because of the dollar shortage, and because of the fact

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<v Speaker 1>that people are that concerned about cash preservation and the

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<v Speaker 1>emphasis on liquidity. I think that that really speaks to

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<v Speaker 1>the mood of the moment. I want to pick up

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<v Speaker 1>on the point that you were talking about the tumbling

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<v Speaker 1>commercial mortgage read values, because that's exactly where we're going

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<v Speaker 1>to brick and mortar, in particular, the shopping mall. Whither

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<v Speaker 1>the shopping mall in a post coronavirus Eratomacke President, chief

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<v Speaker 1>executive officer of the International Council of Shopping Centers joining

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<v Speaker 1>us right now, how about is it out there? Tom, Well,

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<v Speaker 1>good morning and thanks for having me on first and

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<v Speaker 1>foremost health and safety. DU it's a challenging environment. Obviously,

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<v Speaker 1>the government is is taking unprecedented steps and appropriate steps too,

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<v Speaker 1>you know, to protect everyone's health and safety. But that's placing,

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<v Speaker 1>you know, really kind of an insurmountable strain on our members.

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<v Speaker 1>And i C s C represents not just the mall industry,

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<v Speaker 1>but all brick and mortar retail as well as the

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<v Speaker 1>tenants that occupy the space. And so you know, our

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<v Speaker 1>request to the government is to either guarantee or directly

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<v Speaker 1>support business interruption insurance in the interim, in the in

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<v Speaker 1>the immediate term for the industry. So Tom, again, you

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<v Speaker 1>represent the shopping centers around the United States. Just give

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<v Speaker 1>us a state of health of where they are right

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<v Speaker 1>now going into this crisis. Well, obviously, you know, the

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<v Speaker 1>industry going into the going into the crisis, I think

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<v Speaker 1>was relatively healthy. Um. You know, obviously there are some

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<v Speaker 1>large macro trends that were impacting the industry around e

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<v Speaker 1>commerce and technology in general and demographics. But I think

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<v Speaker 1>the industry had evolved to really try to to curate

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<v Speaker 1>his tenant mix to meet the changing needs of consumers.

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<v Speaker 1>But everything's changed over the course of the last um,

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<v Speaker 1>you know, week or two uh and and changes by

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<v Speaker 1>the hour. And we're clearly in a very dire situation

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<v Speaker 1>right now. As people protect their health and safety appropriately

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<v Speaker 1>and stay home and and don't go out to public places.

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<v Speaker 1>That's obviously having a dramatic impact upon retailers and bars

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<v Speaker 1>and restaurants, gyms and service for writers and all the

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<v Speaker 1>folks that occupy shopping centers, whether that's a neighborhood grocery

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<v Speaker 1>center or a regional mall uh and um you know.

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<v Speaker 1>And by the way, our industry is here and ready

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<v Speaker 1>to support the government's actions. Have obviously have large parking

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<v Speaker 1>lots and some unoccupied space that could be used for

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<v Speaker 1>emergency shelter and healthcare purposes. But we do need the

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<v Speaker 1>government to step in and support the industry and provide

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<v Speaker 1>business and terruption insurance guarantee to Some people have been

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<v Speaker 1>arguing the disruptions like this, crises like this accelerate changes

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<v Speaker 1>that are already in effect, and some people are saying

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<v Speaker 1>the shift to Amazon to online ordering and shipping is

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<v Speaker 1>really just getting accelerated. But that trend was in place before.

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<v Speaker 1>What do you say to that, to the people who

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<v Speaker 1>say this is just sort of speeding up what we

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<v Speaker 1>already saw in retail in in brick and mortar, Well,

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<v Speaker 1>you know, first and foremost, I don't know that we

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<v Speaker 1>can make any type of long term UH pronostications around

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<v Speaker 1>the impact of the virus and the crisis that we're

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<v Speaker 1>living through. This is unprecedented, so it's it's really hard

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<v Speaker 1>to anticipate what tomorrow is going to bring, let alone

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<v Speaker 1>three to six months from now, but the the industry

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<v Speaker 1>is enormous. Of all retail sales still happened within brick

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<v Speaker 1>and mortar, Retail shopping centers are integral to every community.

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<v Speaker 1>Lets people drive down the main street of their other towns,

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<v Speaker 1>um that is generally the center of the community. And

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<v Speaker 1>so there's a lot of attention that's often placed upon

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<v Speaker 1>a segment of the industry, But when you really think

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<v Speaker 1>about physical retail UH and what it provides and supports

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<v Speaker 1>to the community, it's kind of integral to everyday life.

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<v Speaker 1>And so I the industry was not dying before this, UH,

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<v Speaker 1>it was it was changing and evolving. UH. This is

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<v Speaker 1>just an unprecedented event. It's obviously going to have a

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<v Speaker 1>significant and his having a significantly a dire impact upon

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<v Speaker 1>an industry that we all rely upon every day, and

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<v Speaker 1>by the way, the communities RelA upon it. I mean,

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<v Speaker 1>it's the biggest source of the industries, the biggest source

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<v Speaker 1>of jobs in America. It's the biggest source of sales

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<v Speaker 1>and property tax revenue that supports you know, community infrastructure, etcetera. Right,

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<v Speaker 1>Tom McGee, thanks so much for joining us. Thomas President,

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<v Speaker 1>chief executive Officer of the International Council of Shopping Centers

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<v Speaker 1>again the that organization and Tom send a letter to

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<v Speaker 1>President Trump asking for some economic relief as the stay

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<v Speaker 1>at home movement expands, obviously impacting a local real UH

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<v Speaker 1>retailers across the board. This is bloomberg. Well, in the

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<v Speaker 1>never ending news cycle that we seem to be in.

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<v Speaker 1>Some more big news this morning, President Trump saying that

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<v Speaker 1>the U. S. And Canada will UH mutually ex closed

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<v Speaker 1>the border after the virus spread. To get a sense

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<v Speaker 1>of what this means and what else is going on

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<v Speaker 1>in Washington and in the White House, we turned to

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<v Speaker 1>John wink Grove. John's Bloomberg White House reporter. Uh, joining

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<v Speaker 1>us on a phone, John, thanks so much. Give us

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<v Speaker 1>kind of what the latest reporting is about the US

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<v Speaker 1>kind of the border closing. Well, yeah, and I'm Canadian,

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<v Speaker 1>so I'm I'm at the nexus of this one. So

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<v Speaker 1>the latest is Trudeau has been taking, believe it or not,

0:13:21.760 --> 0:13:25.839
<v Speaker 1>stronger measures than Trump to close the border, and there

0:13:25.920 --> 0:13:28.000
<v Speaker 1>is talk in Canada a couple of days ago saying, look,

0:13:28.040 --> 0:13:30.920
<v Speaker 1>it seems like Trudeau wants to close the border, but

0:13:30.960 --> 0:13:33.599
<v Speaker 1>Trump would get real ticked off and maybe close it

0:13:33.679 --> 0:13:36.439
<v Speaker 1>to trade in retaliation. So it seems like Trudeau is

0:13:36.440 --> 0:13:39.280
<v Speaker 1>getting what he wants, which is essentially a ban on

0:13:39.400 --> 0:13:45.080
<v Speaker 1>vacations and tourism and leisure travel between the countries, whereas

0:13:45.120 --> 0:13:48.200
<v Speaker 1>business travel and certainly the trade of goods would ostensibly

0:13:48.280 --> 0:13:53.000
<v Speaker 1>go uh, you know on effected. Uh, many question marks remain.

0:13:53.080 --> 0:13:55.360
<v Speaker 1>We have no idea when this would take effect. We

0:13:55.440 --> 0:13:58.200
<v Speaker 1>don't know what counts as business travel. We don't know

0:13:58.280 --> 0:14:01.080
<v Speaker 1>what visa classes would still be permitted or would still

0:14:01.120 --> 0:14:03.960
<v Speaker 1>not be permitted. There's is an indefinite move, so of

0:14:03.960 --> 0:14:05.600
<v Speaker 1>course we don't know when it will end. That would

0:14:05.600 --> 0:14:08.199
<v Speaker 1>be subject to the virus. But you know, This is

0:14:08.240 --> 0:14:13.120
<v Speaker 1>a the massive border that you know, before eleven many

0:14:13.120 --> 0:14:15.600
<v Speaker 1>folks could cross even without a passport. You know, now

0:14:15.640 --> 0:14:17.959
<v Speaker 1>we're in a situation where they can't cross it at all.

0:14:18.160 --> 0:14:19.680
<v Speaker 1>What that effect is I don't know. I mean, how

0:14:19.680 --> 0:14:22.080
<v Speaker 1>many people are really still going on vacation in this

0:14:22.200 --> 0:14:25.040
<v Speaker 1>current era, but you know, it's still nonetheless a big move.

0:14:25.280 --> 0:14:27.720
<v Speaker 1>There's a question just about the state of play of

0:14:27.760 --> 0:14:29.600
<v Speaker 1>all the borders that have closed so far. Can you

0:14:29.640 --> 0:14:32.120
<v Speaker 1>just bring us up to speed, uh, what we know

0:14:32.440 --> 0:14:35.880
<v Speaker 1>as far as what type of restrictions they're currently are

0:14:36.160 --> 0:14:38.280
<v Speaker 1>with the US and other countries. I mean, you talk

0:14:38.280 --> 0:14:40.320
<v Speaker 1>about how people don't really want to go on vacation.

0:14:40.400 --> 0:14:42.880
<v Speaker 1>Certainly people have been trying to come back from vacation

0:14:43.240 --> 0:14:45.480
<v Speaker 1>in order to hunker down and and what is it

0:14:45.600 --> 0:14:51.480
<v Speaker 1>shelter in place? Yeah, self isolate, self isolated, socially, socially distance,

0:14:51.520 --> 0:14:57.200
<v Speaker 1>self isolate, shelter in place fun times hashtag Yeah, like

0:14:57.320 --> 0:15:00.280
<v Speaker 1>right now, it depends on where you're going and where

0:15:00.320 --> 0:15:03.520
<v Speaker 1>you're coming back to the biggest restrictions that Trump has

0:15:03.560 --> 0:15:07.160
<v Speaker 1>put in on China and then later Europe. If you've

0:15:07.160 --> 0:15:10.760
<v Speaker 1>been in any one of a certain number of European countries. Uh,

0:15:11.000 --> 0:15:15.080
<v Speaker 1>he had the UK most recently. Uh, if you're feign

0:15:15.120 --> 0:15:16.800
<v Speaker 1>national has been in those countries, got allowed in the

0:15:16.880 --> 0:15:19.320
<v Speaker 1>US at all. But if you're an American you can

0:15:19.320 --> 0:15:21.320
<v Speaker 1>come back, but they're gonna ask you itself by slates

0:15:21.720 --> 0:15:23.960
<v Speaker 1>for fourteen days, whereas other countries they're not making that

0:15:24.000 --> 0:15:27.040
<v Speaker 1>request at all. And there's been reporting that Trump is

0:15:27.080 --> 0:15:31.440
<v Speaker 1>looking at somehow further restricting the southern border with Mexico,

0:15:31.800 --> 0:15:34.600
<v Speaker 1>and you know, warning that there might be some sort

0:15:34.640 --> 0:15:37.960
<v Speaker 1>of I guess spike of folks fleeing the virus all

0:15:38.000 --> 0:15:41.920
<v Speaker 1>to Mexico. Frankly doesn't seem to be having a widespread problem.

0:15:41.960 --> 0:15:44.320
<v Speaker 1>This is state tis right now, So I think that's

0:15:44.920 --> 0:15:47.400
<v Speaker 1>be an open question is to whether that's legit. But

0:15:47.560 --> 0:15:50.360
<v Speaker 1>he is looking to close borders. I mean, this is

0:15:50.360 --> 0:15:53.160
<v Speaker 1>this guy's reflex move for sure. I mean, you know,

0:15:53.240 --> 0:15:56.280
<v Speaker 1>he believes that the American borders are too open, and

0:15:56.480 --> 0:15:58.520
<v Speaker 1>you know, not an issue has gone by that he

0:15:58.600 --> 0:16:02.800
<v Speaker 1>has not used as an opportunity to look at further restrictions.

0:16:02.800 --> 0:16:06.120
<v Speaker 1>And the coronavirus is no different. Hey, Josh, you know

0:16:06.200 --> 0:16:09.200
<v Speaker 1>it's it appears to a lot of observers that the

0:16:09.240 --> 0:16:11.240
<v Speaker 1>President Trump in the White House, the tone towards the

0:16:11.240 --> 0:16:14.640
<v Speaker 1>coronavirus took a big turn several days ago, even though

0:16:14.680 --> 0:16:16.480
<v Speaker 1>the White House is suggesting that was not the case,

0:16:16.520 --> 0:16:18.800
<v Speaker 1>it was more of an evil evolutionary type type thing.

0:16:19.080 --> 0:16:21.080
<v Speaker 1>What is the feeling inside the Beltway as to what

0:16:21.280 --> 0:16:23.520
<v Speaker 1>really turned the White House to say, boy, we've got

0:16:23.560 --> 0:16:26.560
<v Speaker 1>a big problem here. There's a couple of series. One

0:16:26.640 --> 0:16:28.760
<v Speaker 1>is that they got some data from the UK about

0:16:28.760 --> 0:16:31.240
<v Speaker 1>a model they talked about getting a new model over

0:16:31.280 --> 0:16:34.240
<v Speaker 1>the weekend. That basically scared them a little bit. Um.

0:16:34.280 --> 0:16:36.680
<v Speaker 1>But I mean, the tone absolutely changed. I know Trump

0:16:36.720 --> 0:16:40.040
<v Speaker 1>is denying that it is, but I mean their tone changed,

0:16:40.120 --> 0:16:42.080
<v Speaker 1>and their tone changed on Monday, and now they're taking

0:16:42.400 --> 0:16:44.440
<v Speaker 1>really seriously. Remember it wasn't too long ago that Trump

0:16:44.440 --> 0:16:48.320
<v Speaker 1>wanted two and a half billion dollars for coronavirus response

0:16:48.320 --> 0:16:52.920
<v Speaker 1>and now it's seeking a trillion dollars. So you know,

0:16:54.160 --> 0:16:56.360
<v Speaker 1>give you a sense two billion to one trillion, that's

0:16:56.360 --> 0:16:58.880
<v Speaker 1>how much the tone has changed. And here in d C.

0:16:59.040 --> 0:17:01.280
<v Speaker 1>It's like a ghost town, you know. And so we've

0:17:01.280 --> 0:17:03.480
<v Speaker 1>got the Senate still meaning trying to figure out what

0:17:03.520 --> 0:17:05.520
<v Speaker 1>they're gonna do. Are they going to pass the House bill?

0:17:05.560 --> 0:17:08.840
<v Speaker 1>That they're going to expand the House bill. We don't

0:17:08.840 --> 0:17:12.280
<v Speaker 1>know the timeline on that Senator is frankly, that group

0:17:12.320 --> 0:17:15.760
<v Speaker 1>includes a bunch of older folks or not social distancing

0:17:15.760 --> 0:17:19.560
<v Speaker 1>while they're doing this. So there's urgency to this issue,

0:17:19.640 --> 0:17:21.159
<v Speaker 1>and I think I think the Senate realized that, I

0:17:21.200 --> 0:17:23.320
<v Speaker 1>think all of Washington realizes that we're not seeing a

0:17:23.320 --> 0:17:25.959
<v Speaker 1>lot of my partisan divide on this issue. Yeah, and

0:17:26.000 --> 0:17:28.119
<v Speaker 1>it's definitely like a ghost town here as well. What

0:17:28.240 --> 0:17:30.919
<v Speaker 1>Josh ridden wind Grove, please stay safe. Thank you for

0:17:30.960 --> 0:17:33.920
<v Speaker 1>being with us. Josh wyn Grove, White House correspondent for

0:17:34.080 --> 0:17:37.960
<v Speaker 1>Bloomberg News. Really interesting right now to see some of

0:17:37.960 --> 0:17:40.680
<v Speaker 1>the developments. Mayor to Blasio of New York City coming

0:17:40.720 --> 0:17:42.719
<v Speaker 1>out and saying that the United that that that New

0:17:42.800 --> 0:17:47.600
<v Speaker 1>York has almost a thousand diagnosed cases of coronavirus asking

0:17:47.640 --> 0:17:51.800
<v Speaker 1>for help from the military in order to contain individuals,

0:17:51.840 --> 0:17:54.320
<v Speaker 1>would also detest individuals. I know that they're going to

0:17:54.359 --> 0:17:58.320
<v Speaker 1>be ships possibly coming and testing people with ventilators and

0:17:58.400 --> 0:18:02.639
<v Speaker 1>trying to make sure that the respe bonds time is accurate. Paul,

0:18:02.800 --> 0:18:06.520
<v Speaker 1>A real concern here about the hospital system and the

0:18:06.600 --> 0:18:10.639
<v Speaker 1>capacity given the number of beds, given the hospitalization rates

0:18:10.840 --> 0:18:17.639
<v Speaker 1>and given just how contagious this virus is, Lisa, I

0:18:17.640 --> 0:18:19.040
<v Speaker 1>think what people are trying to one of things they're

0:18:19.040 --> 0:18:20.600
<v Speaker 1>trying to get ahold of here is just kind of

0:18:20.640 --> 0:18:23.440
<v Speaker 1>the kind of where are we in the curve of

0:18:23.480 --> 0:18:28.600
<v Speaker 1>the additional cases. Dr Paul Getford, professor in the Division

0:18:28.600 --> 0:18:31.400
<v Speaker 1>Infectious Diseases at the University of Alabama, Birmingham and also

0:18:31.440 --> 0:18:35.520
<v Speaker 1>a director of the Alabama Vaccine Research Clinics, joins us. Now, uh,

0:18:35.640 --> 0:18:37.800
<v Speaker 1>Dr Getford, give us your sense of kind of where

0:18:37.840 --> 0:18:40.399
<v Speaker 1>we are in the curve of new cases in the

0:18:40.480 --> 0:18:45.399
<v Speaker 1>United States. Well, unfortunately, we're in the rising part of

0:18:45.440 --> 0:18:48.920
<v Speaker 1>the curve. If you look at any of the estimates

0:18:49.160 --> 0:18:51.800
<v Speaker 1>um or any of the curving trends, there's no leveling

0:18:51.840 --> 0:18:54.480
<v Speaker 1>off right now. So we still haven't begun to level

0:18:54.520 --> 0:18:58.680
<v Speaker 1>off yet. So we're I guess what we're We're We're

0:18:58.720 --> 0:19:02.359
<v Speaker 1>at the sort of lug and they've logarithmic growth phase

0:19:02.480 --> 0:19:05.400
<v Speaker 1>of the curve, which is a little bit frightening considering

0:19:05.400 --> 0:19:08.000
<v Speaker 1>the fact that Mayor de Blasio here in New York

0:19:08.040 --> 0:19:11.120
<v Speaker 1>is asking for military assistance as he sees the cases

0:19:11.200 --> 0:19:14.520
<v Speaker 1>absolutely surge with a nearly a thousand confirmed cases and

0:19:14.600 --> 0:19:17.120
<v Speaker 1>we've all had anecdotes about people having a hard time

0:19:17.119 --> 0:19:19.320
<v Speaker 1>getting a test who think that they have the symptoms.

0:19:19.359 --> 0:19:22.159
<v Speaker 1>So the likely tally has probably quite a bit higher

0:19:22.440 --> 0:19:26.600
<v Speaker 1>given how quickly the number of cases is rising the

0:19:26.720 --> 0:19:30.040
<v Speaker 1>logarithmic scale. How many people in the United States do

0:19:30.080 --> 0:19:32.120
<v Speaker 1>you think, I mean, what proportion do you think will

0:19:32.200 --> 0:19:38.159
<v Speaker 1>end up getting this virus? Well? I think, Um, it

0:19:38.240 --> 0:19:42.280
<v Speaker 1>all depends on our response to this epidemic on pandemic.

0:19:43.720 --> 0:19:47.320
<v Speaker 1>If we take if everybody takes seriously the whole part

0:19:47.359 --> 0:19:50.760
<v Speaker 1>about social isolation and don't does not go out unless

0:19:50.800 --> 0:19:55.120
<v Speaker 1>they absolutely have to. Um. And the people who need

0:19:55.200 --> 0:19:59.800
<v Speaker 1>to go to work or people who are needed to

0:20:00.000 --> 0:20:04.040
<v Speaker 1>have a functioning society, um, so healthcare workers, police ambulance,

0:20:04.080 --> 0:20:07.480
<v Speaker 1>so on and so forth. Um, if we do that,

0:20:07.560 --> 0:20:10.760
<v Speaker 1>then we'll the numbers will be a lot less. I

0:20:10.760 --> 0:20:12.679
<v Speaker 1>can tell you that we're on the same trajectory as

0:20:12.720 --> 0:20:17.120
<v Speaker 1>Italy right now. Italy currently has thirty cases and they're

0:20:17.160 --> 0:20:21.280
<v Speaker 1>still growing. Um, And so it doesn't look good. Um.

0:20:21.320 --> 0:20:23.879
<v Speaker 1>We we are a larger country than Italy, so we

0:20:23.920 --> 0:20:25.840
<v Speaker 1>may be able to handle that a little bit better.

0:20:25.960 --> 0:20:31.040
<v Speaker 1>But um, that's still not a great sign. So there's

0:20:31.040 --> 0:20:35.520
<v Speaker 1>been estimates, I'm sorry, extreme estimates if we did nothing

0:20:35.560 --> 0:20:37.879
<v Speaker 1>at all, or we don't even want to think about

0:20:37.920 --> 0:20:41.359
<v Speaker 1>that because we are finally doing something. So Dr Gepford

0:20:41.440 --> 0:20:43.480
<v Speaker 1>gives a sense a kind of kind of how you

0:20:43.520 --> 0:20:45.800
<v Speaker 1>think this will play out. It looks like the federal

0:20:45.800 --> 0:20:50.240
<v Speaker 1>government is really mobilizing. UM, so do you expect it?

0:20:50.359 --> 0:20:52.320
<v Speaker 1>Just is this really a story right now? If just

0:20:52.359 --> 0:20:56.560
<v Speaker 1>getting test kits into is widthy disseminate as possible to

0:20:56.560 --> 0:20:58.520
<v Speaker 1>get a real handle on kind of what the numbers are.

0:20:58.560 --> 0:21:00.600
<v Speaker 1>Is that do you think is the most critical issue

0:21:00.680 --> 0:21:05.359
<v Speaker 1>right now? Well, that is, um, that's one of the

0:21:05.359 --> 0:21:09.560
<v Speaker 1>critical issues. That's very important. I think it's fair to

0:21:09.600 --> 0:21:13.320
<v Speaker 1>say now that it's inundated our society and that people

0:21:13.720 --> 0:21:17.560
<v Speaker 1>need to not worked for a test. If they have

0:21:18.200 --> 0:21:23.119
<v Speaker 1>the symptoms UM, then they need to self quarantine. Uh.

0:21:23.240 --> 0:21:26.439
<v Speaker 1>And I've had many people here where I am in Alabama,

0:21:26.480 --> 0:21:28.240
<v Speaker 1>which has been sort of late in the game, and

0:21:28.280 --> 0:21:31.239
<v Speaker 1>again it's because we haven't had the tests here. We

0:21:31.240 --> 0:21:33.439
<v Speaker 1>were one of the last states to actually have a test.

0:21:34.600 --> 0:21:36.920
<v Speaker 1>We've gone from one case less than a week ago

0:21:37.040 --> 0:21:41.080
<v Speaker 1>to forty six cases today. So that's a huge growth.

0:21:41.080 --> 0:21:44.720
<v Speaker 1>And I have a lot of patients and employees who

0:21:44.720 --> 0:21:48.520
<v Speaker 1>are starting to develop symptoms. Now, we even have one

0:21:48.560 --> 0:21:51.720
<v Speaker 1>of our lead infectious disease doctors here in town that

0:21:52.680 --> 0:21:56.000
<v Speaker 1>who started our HIV clinic many years ago, who tested

0:21:56.040 --> 0:22:00.480
<v Speaker 1>positive for coronavirus. So it's in our society the I

0:22:00.520 --> 0:22:03.280
<v Speaker 1>think people need to realize that if they get sick

0:22:03.320 --> 0:22:05.280
<v Speaker 1>at all, the best thing for them to do is

0:22:05.680 --> 0:22:10.880
<v Speaker 1>self quarantine, unless they started, you know, developing respiratory difficulties,

0:22:10.920 --> 0:22:12.679
<v Speaker 1>in which case they probably need to go to the

0:22:12.680 --> 0:22:16.679
<v Speaker 1>emergency department. Dr Gepford. Given the fact, I will just

0:22:16.720 --> 0:22:20.760
<v Speaker 1>say that testing is important because there are it's likely

0:22:20.760 --> 0:22:24.840
<v Speaker 1>that there are many people who are not developing symptoms

0:22:25.440 --> 0:22:27.800
<v Speaker 1>and people who have been exposed. That would be important

0:22:27.800 --> 0:22:29.359
<v Speaker 1>as well. But we're not able to do any of

0:22:29.359 --> 0:22:33.399
<v Speaker 1>that right now because the testing is so um we

0:22:33.480 --> 0:22:35.240
<v Speaker 1>have so few tests to be able to do that.

0:22:35.880 --> 0:22:38.960
<v Speaker 1>Dr Eepford, you do your professor in the Division of

0:22:39.000 --> 0:22:42.280
<v Speaker 1>Infectious Diseases at the University of Alabama in Birmingham. You're

0:22:42.280 --> 0:22:45.399
<v Speaker 1>also the director of the Alabama Vaccine Research Clinic. And

0:22:45.440 --> 0:22:47.800
<v Speaker 1>the focus right now is how quickly can we get

0:22:47.800 --> 0:22:51.760
<v Speaker 1>some sort of medication, some vaccine to to be a

0:22:51.800 --> 0:22:56.560
<v Speaker 1>circuit breaker here we do hear about Chinese pharmaceutical companies

0:22:56.600 --> 0:23:00.200
<v Speaker 1>developing something and actually entering a human testing phase. Is

0:23:00.400 --> 0:23:03.760
<v Speaker 1>how quickly could we get something in circulation that could

0:23:03.880 --> 0:23:14.480
<v Speaker 1>severely limit the spread? Okay, so treatment is about the start.

0:23:14.520 --> 0:23:16.840
<v Speaker 1>In fact, we've started that study for a treatment. It's

0:23:16.840 --> 0:23:20.520
<v Speaker 1>a drug called remdessa there. It was actually produced in

0:23:20.600 --> 0:23:24.399
<v Speaker 1>part at u a BUM, but it was a collaborative effort.

0:23:24.480 --> 0:23:28.359
<v Speaker 1>It's owned by Gilead now and that treatment has already started.

0:23:28.359 --> 0:23:30.600
<v Speaker 1>So patients who are infected, who are in the hospital,

0:23:30.720 --> 0:23:33.199
<v Speaker 1>we are doing a randomized control study to see if

0:23:33.240 --> 0:23:36.440
<v Speaker 1>that is an effective drug. We should know the answer

0:23:36.560 --> 0:23:40.080
<v Speaker 1>of that in a few months. Um. That drug could

0:23:40.080 --> 0:23:42.359
<v Speaker 1>potentially be used for prevention as well, but I'm not

0:23:42.440 --> 0:23:45.119
<v Speaker 1>aware of any studies that are looking at that for prevention.

0:23:46.080 --> 0:23:48.960
<v Speaker 1>The best prevention, as you probably know, is a vaccine.

0:23:49.720 --> 0:23:55.080
<v Speaker 1>Vaccine studies have started in this country and in China. Um.

0:23:55.080 --> 0:23:57.840
<v Speaker 1>In China, I'm not sure what their timeline is. In

0:23:57.880 --> 0:24:01.800
<v Speaker 1>this country, you have to first do safety, and then

0:24:02.000 --> 0:24:05.800
<v Speaker 1>safety and immunogenicity, and then you can do an efficacy study,

0:24:05.840 --> 0:24:08.439
<v Speaker 1>and that generally takes at least a year year and

0:24:08.440 --> 0:24:12.080
<v Speaker 1>a half. If everything goes well. It seems like that's

0:24:12.119 --> 0:24:14.360
<v Speaker 1>the timing issue here. Is there any way to accelerate

0:24:14.359 --> 0:24:17.639
<v Speaker 1>any of those timelines. I don't think so, not for

0:24:17.680 --> 0:24:21.000
<v Speaker 1>the vaccine, for the for the drug treatment, it's a

0:24:21.040 --> 0:24:23.520
<v Speaker 1>little bit easier, and it's and we already have a

0:24:23.560 --> 0:24:27.200
<v Speaker 1>drug in hand that UM has been tested in humans

0:24:27.240 --> 0:24:30.280
<v Speaker 1>already UM so it was tested. It was originally developed

0:24:30.280 --> 0:24:34.040
<v Speaker 1>free bola UM, so we don't have to do small

0:24:34.080 --> 0:24:37.600
<v Speaker 1>studies at first UM, so we can skip that. So

0:24:37.680 --> 0:24:41.360
<v Speaker 1>that will likely be developed if it works more rapidly.

0:24:42.000 --> 0:24:44.600
<v Speaker 1>But the public vaccine testing is you have to test

0:24:44.640 --> 0:24:48.640
<v Speaker 1>safety and because we know that there are certain vaccines

0:24:48.680 --> 0:24:52.399
<v Speaker 1>in the past that have actually worsen disease outcomes, so

0:24:52.440 --> 0:24:56.000
<v Speaker 1>you can't just go really really quickly, and you can't

0:24:56.000 --> 0:24:58.199
<v Speaker 1>even test to see if it works unless you have

0:24:58.320 --> 0:25:02.800
<v Speaker 1>an ongoing epidemic UM and so the Stars one vaccine

0:25:02.840 --> 0:25:07.320
<v Speaker 1>was developed in two thousand four and they had it

0:25:07.359 --> 0:25:09.560
<v Speaker 1>ready to go, but then the epidemic went away and

0:25:09.600 --> 0:25:13.320
<v Speaker 1>so they couldn't test it. But Dr Keefer just to

0:25:13.359 --> 0:25:17.159
<v Speaker 1>sort of wrap things altogether. The big concern with so

0:25:17.200 --> 0:25:21.840
<v Speaker 1>many people getting the virus is that particularly older had

0:25:21.920 --> 0:25:25.720
<v Speaker 1>also and you know compromised individuals have a very high

0:25:25.760 --> 0:25:29.600
<v Speaker 1>hospitalization rate. Governor Cuomo of New York yesterday saying it

0:25:29.640 --> 0:25:33.800
<v Speaker 1>could amount to almost of cases. Considering that that has

0:25:33.840 --> 0:25:37.080
<v Speaker 1>been the rate of hospitalization for those tested. Is that

0:25:37.200 --> 0:25:40.400
<v Speaker 1>a skewed number for just those who actually got tested,

0:25:40.440 --> 0:25:43.359
<v Speaker 1>considering how we are not really testing that many people,

0:25:45.359 --> 0:25:48.280
<v Speaker 1>I think is a good number that's been born out

0:25:48.320 --> 0:25:56.320
<v Speaker 1>in China um people who developed COVID nineteen end up

0:25:56.400 --> 0:26:01.000
<v Speaker 1>needing hospitalization. So that is the bigest problem right now

0:26:01.040 --> 0:26:05.320
<v Speaker 1>with this disease. Mortality is bad, it can be upwards

0:26:05.359 --> 0:26:08.199
<v Speaker 1>of four percent, and it's anywhere from point five to

0:26:08.240 --> 0:26:11.840
<v Speaker 1>four percent. But the problem is when you have of

0:26:11.920 --> 0:26:14.679
<v Speaker 1>people that need hospitalization and you have the numbers that

0:26:14.720 --> 0:26:17.600
<v Speaker 1>we're seeing, which I think is right now in the

0:26:17.720 --> 0:26:22.320
<v Speaker 1>US and growing logarithmically, that our health care infrastructure is

0:26:22.320 --> 0:26:25.160
<v Speaker 1>going to be inundated in parts of the country. It's

0:26:25.200 --> 0:26:28.560
<v Speaker 1>already that way, and so I think that's the biggest problem.

0:26:28.680 --> 0:26:32.640
<v Speaker 1>Running out of supplies, running out of medical supplies. Look

0:26:32.640 --> 0:26:34.919
<v Speaker 1>what is happening in Italy right now, where you have

0:26:35.000 --> 0:26:37.840
<v Speaker 1>to decide on who gets care and who doesn't get care,

0:26:38.200 --> 0:26:40.480
<v Speaker 1>And that's what we really want to avoid, and that's

0:26:40.480 --> 0:26:45.600
<v Speaker 1>why this social isolation and staying out of crowded situations

0:26:45.720 --> 0:26:48.840
<v Speaker 1>is absolutely essential for the United States right now. Dr

0:26:48.880 --> 0:26:50.719
<v Speaker 1>Paul gap For thank you so much for being with us,

0:26:50.720 --> 0:26:53.280
<v Speaker 1>professor in the Division of Infectious Diseases at the University

0:26:53.280 --> 0:26:56.960
<v Speaker 1>of Alabama, Birmingham and also director of the Alabama Vaccine

0:26:57.160 --> 0:27:01.760
<v Speaker 1>Research Clinic. Thanks for listening to the Bloomberg pen L podcast.

0:27:01.920 --> 0:27:04.520
<v Speaker 1>You can subscribe and listen to interviews at Apple Podcasts

0:27:04.600 --> 0:27:07.600
<v Speaker 1>or whatever podcast platform you prefer. I'm Paul Sweeney. I'm

0:27:07.600 --> 0:27:10.320
<v Speaker 1>on Twitter at pt Sweeney. I'm Lisa abram Woyds. I'm

0:27:10.320 --> 0:27:13.160
<v Speaker 1>on Twitter at Lisa abram woits one. Before the podcast,

0:27:13.240 --> 0:27:15.840
<v Speaker 1>you can always catch us worldwide. I'm Bloomberg Radio.