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    How President Biden’s Inner Circle Kept His Signs of Aging Under Wraps

    en-usJuly 09, 2024

    Podcast Summary

    • Dedication vs Control in Politics and EconomicsPresident Biden's team extensively controls his schedule and interactions for public image management. Fed Chair Powell balances inflation control and labor market strength, making interest rate decisions meeting by meeting.

      Dedication means creating an enabling environment for learning and growth, as demonstrated in the example of teaching children to ride a bike. Meanwhile, in politics, President Biden's team has been controlling his schedule and interactions extensively to manage his public image. In the economic sphere, Federal Reserve Chair Jerome Powell testified before Congress, acknowledging the trade-off between controlling inflation and maintaining a strong labor market. The Fed is carefully balancing these risks and is expected to make decisions on interest rate cuts meeting by meeting, with markets focusing on the upcoming July meeting for potential hints.

    • Democrats' lack of push for new nomineeDespite concerns about Biden's performance and age, no clear push for a new Democratic nominee emerged following conference meetings, allowing Biden to continue leading the party and improving with time.

      Despite concerns about President Biden's performance and age, there was no clear push among Democrats for a new nominee following their conference meetings. On Wall Street, the S&P 500 and NASDAQ composite reached new records, while the Dow Jones industrial average dipped slightly. In Washington, the effort to seek an alternative to Biden appeared to falter, with lawmakers seeing no clear path forward. Democrats held meetings to discuss their concerns, but no consensus emerged. Lawmakers were tight-lipped about the discussions, with some even avoiding commenting to the media. The lack of a clear push for a new nominee could be seen as a good sign for Biden, as he continues to hold the position and improve with time. In the stock market, financial firms led the S&P 500 to a new record, while Treasury yields rose and then eased in afternoon trading.

    • Biden's debate performanceDespite efforts to manage his public appearances, Biden's lackluster debate performance raised doubts among Democrats, leading some to call for more public appearances to restore confidence in his candidacy.

      The recent disastrous debate performance by President Biden took many Democrats by surprise, despite efforts by the White House to manage his public appearances and minimize concerns about his age. Senior advisers have been controlling Biden's schedule and limiting his media interactions for over a year. However, the president's lackluster performance in the debate raised doubts among Democrats, with some calling for more public appearances from Biden to restore confidence in his candidacy. The election outcome remains uncertain, but the dissolving hopes for a Democratic victory have created a tense atmosphere. The president's scheduled press conference later this week may provide an opportunity for him to address these concerns and regain support.

    • Biden's debating abilitiesSome close advisors and Democrats who initially defended Biden's debating abilities are now expressing concerns, and the future of his campaign may depend on his improvement in this area.

      Close advisors and Democrats who previously defended President Biden's performance are now expressing concerns about his debating abilities following a damaging performance in the latest debate. Anita Dunn, Steve Rachete, Mike Donilon, Annie Thomas, and Anthony Bernal are among the advisors named in the article, with some acting as gatekeepers for the president and first lady. Initially, many Democrats defended Biden, but after the debate, some have changed their tune, such as Senator Patty Murray, who previously defended Biden's acuity but now calls for a more forceful and energetic candidate. The article suggests that these concerns are not being dismissed as one-time occurrences, and the future of Biden's campaign may depend on his ability to improve his performance on the campaign trail.

    • White House donor concerns, FTC report on PBMsWhite House donors express unease over aggressive stage-management and fumbles during fundraisers, while the FTC accuses Pharmacy Benefit Managers of steering patients towards costlier medicines and overcharging for drugs

      The aftermath of the Democratic debate has left some donors feeling uneasy and concerned about the President's performance. These concerns include instances of aggressive stage-management and fumbles during closed-door fundraisers. The White House has pushed back against these reports, insisting that limiting interviews and controlling access is a standard practice for any presidency. Meanwhile, the Federal Trade Commission (FTC) has released a report accusing Pharmacy Benefit Managers (PBMs) of steering patients towards more expensive medicines and overcharging for drugs, contradicting their claim of keeping drug costs in check.

    • PBMs and Pharmacy CostsPBMs negotiate rebates with drug manufacturers, potentially leading to patients paying more for prescriptions at affiliated pharmacies, and the top three PBMs manage 80% of US prescriptions, despite criticism and calls for further investigation, legislative action, or industry reforms.

      Pharmacy Benefit Managers (PBMs) steer patients towards affiliated pharmacies, leading to higher costs at the pharmacy counter. PBMs negotiate rebates with pharmaceutical manufacturers, sometimes prioritizing more expensive drugs for bigger rebates, which can result in patients paying more for their prescriptions. The top three PBMs, Optum, Express Scripts, and CVS Caremark, manage around 80% of US prescriptions. The FTC's report on this issue was criticized by the PBMs and one commissioner, who felt the analysis was incomplete and biased. With this report's release, potential next steps could include further investigation, legislative action, or industry reforms to increase transparency and reduce prescription costs.

    • PBM ReformsBipartisan groups propose PBM reforms, White House and state AGs voice concerns, and lawsuits ensue, while the Olympics bring economic implications

      Pharmacy Benefit Managers (PBMs) are under scrutiny from policymakers, with bipartisan groups proposing reforms that haven't been passed into law yet. The White House and state attorneys general have voiced concerns about PBM practices, leading to lawsuits and industry pushback. Meanwhile, the Paris Olympics, starting later this month, bring economic implications in addition to sports. Listeners are encouraged to share their financial Olympics-related questions. This report highlights the ongoing debate surrounding PBMs and the financial impact of the Olympics.

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