Wednesday, January 28, 2026

Nobody wants to find a new doctor

An out-of-network nightmare.
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Today's Agenda

Health Care Chaos

I got a letter from my health insurer the other day informing me that all Mount Sinai physicians are now out-of-network because they failed to negotiate a new contract. Now, I'll either have to pay out-of-pocket to see my doctor of nearly a decade — a woman I've given Christmas cookies to! — or begin the cursed process of finding a brand-new OB/GYN and explaining my entire medical history to them.

Obviously, these are champagne problems. I'm deeply aware that having health insurance at all — courtesy of my employer — is an immense privilege. But my dissatisfaction echoes that of many others: "According to Gallup, 70% of Americans think the US health care system either has major problems (47%) or is in a state of crisis (23%). The source of that dissatisfaction is cost," Kathryn Anne Edwards writes. "About half of Americans report that it is difficult to afford health care, and nearly 40% incurred some kind of formal or informal debt to pay for it. In previous eras, it was easy to assume that cost issues were isolated to the uninsured. Today's cost issues stem from insurance itself."

Kathryn sees similarities between the $5 trillion US health system — which makes up a striking 18% of the US economy — and the AI bubble, which Shannon O'Neil covers at length here. Both industries are valuable yet incredibly fragile, making the US economy's dependence on them all the more worrisome. Just look at what happened after the Trump administration announced lower-than-expected Medicare reimbursement rates this week:

Still, there's one crucial difference between AI and health care, Kathryn notes: "A bubble implies air, a vacuous space that contains nothing of substance within. A popped bubble is painful, but that's an easier correction to navigate than the reorganization of an entire industry in which human lives, public dollars and economic stability are on the line."

Why Wasn't Kendall in a Kalshi Commercial?

Watching Kendall Jenner star in Fanatics Sportsbook's cheeky Super Bowl ad about the Kardashian family dating curse, I couldn't help but wonder: Will Kalshi and Polymarket ever be able to top this??

Turns out, they can't even try! According to Bloomberg News, the two prediction market operators "haven't met the requirements to become official partners of the National Football League and thus can't advertise during the game." What a shame — I imagine Kalshi's marketing team would have put up a solid show.

In the lead-up to New York City's mayoral primary, you couldn't walk a block without seeing one of Kalshi's flashy advertisements depicting the real-time odds for each candidate. But Aaron Brown says no amount of billboards in Times Square can change the fundamentals of its business.

In an event study of minute-by-minute pricing of the mayoral race, Aaron says Kalshi failed to achieve one of the main claimed benefits of prediction markets — "that they promote better decision-making by aggregating the wisdom of crowds with more accuracy and precision than polls, expert opinion or financial markets." Read the whole thing.

There Is Only One Wes Streeting

Say what you want about UK politics, but there's no denying that they have some absolute characters on their roster. Just look at Health Secretary Wes Streeting, who Rosa Prince says might be Labour's "plan B" for prime minister:

Youngish (43), gay, a cancer survivor, as his energetically promoted biography reveals, he was born to teenage parents in Stepney in East London. His "Grandad Pops" was a career criminal who knew the Kray twins. His grandmother became friendly with Christine Keeler, the woman at the center of the Profumo affair, while serving time in prison.

I … don't know where to begin? Perhaps with the fact that his grandma was palling around prison with the subject of a sex scandal that helped topple the Conservative government?? Or maybe the fact that his granddad was rubbing elbows with some of London's most prolific gangsters? In addition to the fascinating family tree, Rosa says his excellent verbal sparring acts as "a cheerful antidote" to Keir Starmer's robot persona.

Photographer: Chris Ratcliffe/Bloomberg

"But an easygoing manner doesn't mean you're a natural PM," Rosa notes. Within Labour's ranks, she says some see Streeting "as almost too slick, too ambitious, not substantial enough. Do they really want the man who's first on and last off the dancefloor to go toe-to-toe with Vladimir Putin or Xi Jinping on Britain's behalf?" Hmmm. I suppose time will tell!

Telltale Charts

If you're a regular Bloomberg reader, you've probably heard about Mrs. Watanabe: the affluent housewife who controls the family purse strings and dabbles in currency trading while her husband rots away at his nine-to-five. It's a stereotype that Gearoid Reidy says is well past its due date: "In Japan, as elsewhere, housewives are a near-extinct breed with most households dual-income. Perhaps it's time for a new face of FX investment. Step forward Kurumi, the pink-haired college student protagonist of a new anime based on retail-currency trading." She sounds cool! But there are actually very few young people in Japan involved in FX trading. Still, Gearoid hopes the anime — which doesn't air until later this year — could inspire a new generation to catch the trading itch.

Imagine if today's press conference was your first exposure to Fed Chair Jerome Powell. You'd think he only knows three words: "Nothing. For. You." Reporters went zero-for-three when asking him questions about political pressure on the Fed, his job plans come May and the dollar, which just experienced its worst day since April after Trump gave traders the green light to push the currency even lower. Despite Powell's silence, John Authers says there are "major economic ramifications" with the currency moves. "A weak dollar makes US exports more competitive, and imports more expensive — a key Trump 2.0 aim and a reason why he has advocated for a weaker dollar in the past." Enter, the Fed's perennial foe, inflation? Maybe: The CPI isn't super sensitive to import prices, but as economist Dave Sloan says, "a sliding USD does make the Fed's task a little harder."

Further Reading

Congress must rein in Trump's reckless deportation campaign. — Bloomberg editorial board

Should SpaceX investors start paying attention to astrology? — Matt Levine

Finally, Starbucks' comeback story is more than just froth. — Beth Kowitt

UPS will endure one more year of pain as it shrinks to become more profitable. — Thomas Black

Luxury is back from the brink, but it still needs a proper turnaround in China. — Andrea Felsted

Mexico is blowing its chance to capitalize on the interest of global investors. — Juan Pablo Spinetto

Republican governors now realize the ICE crackdown puts them in political peril. —Mary Ellen Klas

Asking for Minnesota voter data isn't law enforcement — it's coercion. — Barbara McQuade

ICYMI

The app that's stealing TikTok's spotlight.

Moms fight ICE with the group chat.

Babies get sick on fancy formula.

Kickers

Ted Lasso is back?

An explainer on house burping.

Great white sharks grow a new kind of tooth.

Canada is releasing the fleece.

Notes: Please send Canada merch and feedback to Jessica Karl at jkarl9@bloomberg.net.

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