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Futures Ramp To Session High As Oil Slides

Futures Ramp To Session High As Oil Slides

After a jerky, stop and go session that saw several sharp moves in both directions only to reverse…

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Futures Ramp To Session High As Oil Slides

After a jerky, stop and go session that saw several sharp moves in both directions only to reverse into a relatively narrow trend, S&P futures were near session highs, up 0.3% or 14 points to 4,526 around the time US traders got to their desks as investors evaluated economic risks from Federal Reserve monetary-policy tightening and Russia’s war in Ukraine. Sentiment was boosted by WTI crude futures sliding 1.6% as the EU continues to make plans to reduce its dependence on Russia. Asia stocks were mixed, with losses led by Hang Seng which closed down 2.5%, while Europe's Stoxx Europe 600 index rose, led by the tech and real-estate sectors. President Joe Biden will travel to Poland for a visit focused on refugees as his European trip continues. The dollar dropped, bitcoin jumped near $45,000 while Treasuries were flat, remaining on course for one of their worst quarterly routs since at least the early 1970s.

“In the near term, we believe that outcomes for markets will focus primarily on the question of when we will reach -- or if we have already reached -- peak sanctions and oil prices,” said UBS Wealth Management CIO Mark Haefele. 

Major U.S. technology and internet stocks are slightly higher in premarket trading on Friday, suggesting the group will close out a second straight week with solid gains.  Cannabis shares soared in premarket trading after a House panel said that it would consider a bill to decriminalize marijuana. Here are all the notable premarket movers:

  • Cannabis stocks surge in U.S. premarket trading after a House panel said that it would consider a bill to decriminalize marijuana. Tilray (TLRY US)  +19% premarket, Sundial (SNDL US) +23%.
  • Shares in Chinese ADRs dropped in U.S. premarket trading, mirroring losses for their Hong Kong-listed counterparts, as peer Meituan dropped 8.6% ahead of its results. Alibaba (BABA US) -4.8%, JD.com (JD US) -4.7%.
  • Bed Bath & Beyond Inc. (BBBY US) jumped in premarket as activist investor Ryan Cohen is nearing a settlement at Bed Bath & Beyond Inc. that would see three new directors appointed to the retailer’s board, according to people familiar with the matter.
  • MEI Pharma (MEIP US) shares drop 45% in U.S. premarket after the company and Kyowa Kirin said the FDA discouraged an accelerated approval filing for zandelisib based on Phase 2 Tidal study data.
  • Honest Co. (HNST US) falls 21% in U.S. premarket trading after earnings missed analysts’ estimates. Jefferies analysts downgrade the stock to hold, saying they’re disappointed by the personal-care company’s growth and consider its promise and potential to be in conflict with its performance.
  • CuriosityStream (CURI US) tumbled 13% in extended trading after the streaming platform focused on factual programming gave a revenue forecast for the first half of the year that trailed analysts’ projections.
  • Maxeon Solar (MAXN US) shares fell 8% in extended trading on Thursday, after the maker of renewable energy equipment reported fourth-quarter revenue that was slightly below expectations. It also gave a first- quarter revenue forecast that is below the average analyst estimate.

Investors continue to grapple with the ramifications of Russia’s invasion and isolation, including elevated raw-material costs that have stoked expectationsof higher inflation and more aggressive Fed interest-rate hikes. Key parts of the U.S. Treasury yield curve continue to flatten or are inverted. That’s stirring debate as to whether the bond market is flagging a steep economic slowdown or even a recession ahead.

Meanwhile, the Biden administration is increasingly worried that Russian President Vladimir Putin may lash out dangerously, pressured by the struggles of his military campaign and far-reaching sanctions. The U.S. and its allies warned Putin against using biological, chemical or nuclear weapons.

The Fed’s steps to contain inflation are “what ultimately will drive a more aggressive inversion of the curve, which we think is coming quite quickly,” Gene Tannuzzo, global head of fixed income at Columbia Threadneedle Investments, said on Bloomberg Television. That doesn’t necessarily signal a recession, he added, since “this is a very different cycle and the first one in over 30 years where the Fed is playing catch-up to inflation.”

On the strategy front, Bank of America Corp.’s Bull & Bear Indicator is flashing green for the first time since the onset of the pandemic in March 2020, potentially signaling gains for global equities in the weeks ahead.  U.S. data on Friday include pending home sales and Michigan sentiment, while no major earnings release is scheduled.

In Europe, the Stoxx 600 index rose, led by the tech and real-estate sectors. The FTSE 100 underperformed, dropping as much as 0.3%. Banks, insurance and energy are the worst-performing sectors as crude oil retreated and the U.S. and European Union announced an agreement to wean European countries off Russian natural-gas supplies. Here are some of the biggest European movers today:

  • Trelleborg shares jump as much as 26% in Stockholm after agreeing to sell the tires business on which the Swedish industrial group was founded more than a century ago.
  • HomeServe shares rise as much as 16%, extending yesterday’s gains, after Brookfield said one of its private infrastructure funds is in the early stages of considering a possible offer for the home emergency and repair services provider. Analysts think the M&A interest is not surprising given HomeServe’s low valuation and attractiveness.
  • Adyen shares rise as much as 3.9% after Morgan Stanley recommends SAP and Sage as two safe havens to own amid market uncertainty, along with Adyen, Capgemini and Trustpilot as picks for when risk appetite returns.
  • Hibernia REIT shares rise as much as 38% after a unit of Brookfield Asset Management agreed to buy the real estate company for EU1.09b in cash.
  • Antofagasta shares drop as much as 4.7% after UBS cut the recommendation to sell from neutral as possible higher taxation in Chile is no longer discounted and copper prices aren’t sustainable.
  • Husqvarna shares fall as much as 8.8% after the firm said it can’t keep up with demand for its products because Russia’s invasion in Ukraine has exacerbated the global shortage of components and prolonged lead times.
  • Rational shares fall as much as 9.4% as some analysts cut price targets following Thursday’s earnings report. Separately, RBC analysts said in a note they are concerned about the cost outlook after Rational reported “fine” fourth-quarter earnings.

Russian equities fell during the second day of limited trading after a record long shutdown of the country’s stock market.

Earlier in the session, Asian stocks fell, paring a weekly gain, as traders assessed interest-rate hike prospects and delisting risks for Chinese companies in the U.S. The MSCI Asia Pacific Index declined as much as 0.7%, with Chinese internet giants Alibaba and Tencent the biggest drags. The Hang Seng Tech Index fell 5% after the U.S. said it’s “premature” to speculate about a deal to keep Chinese stocks from being kicked off American exchanges, and investors sold Meituan shares ahead of its earnings release that came in after market close. Meituan’s Revenue Slows in Latest Sign of China Crackdown Toll Stock traders also continue to grapple with hawkish signals from the Federal Reserve amid a surge in food and energy prices, worsened by supply disruptions caused by the Russia-Ukraine war.

Still, the Asian stock measure was on track for its second-straight weekly rise, up 0.8% since the March 18 close. “We expect the equity markets to eventually be range-bound,” said Ray Sharma-Ong, investment director for multi-asset solutions at abrdn. Concerns on soaring prices, softer global demand and tightening global liquidity conditions still exist while the U.S. monetary policy path is “yet to be determined,” he added. Benchmarks in Hong Kong and China led losses Friday. Japan’s Nikkei 225 rose for a ninth straight day, while the country’s central bank governor said a weaker currency is a plus for the Japanese economy

The Hang Seng Tech Index slides as much as 4.5%, with Meituan’s 8.2% loss making it one of the worst performers on the gauge; NetEase and Alibaba are other big losers, down about 5% each. “Some risk averse behavior of selling Meituan shares ahead of earnings is understandable, given most of the tech names in China reported weak results and their shares drop post result, with the exception of Xiaomi,” says Willer Chen, an analyst at Forsyth Barr Asia Ltd. “It’s a sign of panic selling as new guidelines will increase costs to the company on improved standards for food delivery workers, says Rebecca Lim, founder of AutoML Capital, referring to actions on Meituan, adding investors are looking for more “fundamentally solid” companies”

In Japan, the Nikkei 225 capped its ninth-straight day of gains, its longest win streak since September 2019, after a day of mostly directionless trading. Tokyo Electron and Shionogi were the largest contributors to a 0.1% rise in the blue-chip gauge. The broader Topix closed a few basis points lower, ending its win streak at eight days, as drugmakers gained and telecoms fell. The yen strengthened after dropping 1% Thursday to 122.35 per dollar, its lowest level since 2015

Australia's S&P/ASX 200 index rose 0.3% to close at 7,406.20, gaining for a fourth session. Miners and utilities led sector gains. Brickworks was among the top performers after it was upgraded at Ord Minnett. Telix Pharma was the biggest laggard, dropping the most in about two years. In New Zealand, the S&P/NZX 50 index rose 0.3% to 12,055.00.

In FX, the yen advanced after the Bank of Japan refrained from intervening in the government bond market as yields edged up to a level that previously spurred action. The decision triggered a yen squeeze. USD/JPY fell almost 1% to 121.18 after rallying 1% on Thursday, with a slew of ‘one-cancels-the-other’ orders being triggered and indicating leveraged clients pared risk into the weekend. The BOJ abstained from intervening despite yields rising to the highest level since January 2016, spurring speculation the central bank would offer to buy an unlimited amount of government debt at fixed rates.

“The yen rose, perhaps as the BOJ didn’t step in, but it’s more due to buying back the currency after yen short positions have accumulated from persistent selling,” said Tohru Sasaki, head of Japan markets research at JPMorgan Chase & Co. in Tokyo

 

In rates, Treasuries front-end trades heavy, flattening the curve with longer-dated tenors trading rich on the day. S&P 500 futures hold small gains while WTI oil futures are falling for a second day. Front-end Treasury yields cheaper by ~2bp on the day near session highs, flattening 2s10s spread by 2.7bp as 10-year yields around 2.36% are little changed vs Thursday’s close; long-end of the curve is richer by ~2bp on the day, flattening 5s30s by as much as 3bp to 11bp, a new multiyear low. U.S. session includes February pending home sales and March final University of Michigan sentiment, and three scheduled Fed speakers. 

In commodities, WTI futures are down over 2%, natural gas drops over 4%.

Nasdaq contracts lose 0.1%. Bonds push higher, belly of the gilt curve outperforming bunds and USTs by 2-3bps. Peripheral spreads tighten slightly to core. Bloomberg dollar spot index recoups much of Asia’s weakness. CAD and GBP are the weakest performers in G-10 FX, JPY and SEK outperform. Spot gold holds steady near $1,955/oz

 

Bitcoin holds above 44k with little action seen across the major cryptos

Looking to the day ahead now, and data releases include UK retail sales for February, Germany’s Ifo business climate indicator for March, and the Euro Area M3 money supply for February. Over in the US, there’s also February’s pending home sales, and the final University of Michigan consumer sentiment index for March. Meanwhile from central banks, today’s Fed speakers will include Waller, Williams and Barkin.

Market Snapshot

  • S&P 500 futures up 0.2% to 4,523
  • STOXX Europe 600 down 0.2% to 452.14
  • MXAP down 0.5% to 179.73
  • MXAPJ down 0.9% to 583.79
  • Nikkei up 0.1% to 28,149.84
  • Topix little changed at 1,981.47
  • Hang Seng Index down 2.5% to 21,404.88
  • Shanghai Composite down 1.2% to 3,212.24
  • Sensex down 0.8% to 57,154.90
  • Australia S&P/ASX 200 up 0.3% to 7,406.25
  • Kospi little changed at 2,729.98
  • German 10Y yield little changed at 0.51%
  • Euro up 0.2% to $1.1018
  • Brent Futures down 2.0% to $116.59/bbl
  • Gold spot up 0.1% to $1,958.79
  • U.S. Dollar Index down 0.19% to 98.60

Top Overnight News from Bloomberg

  • Bank of Japan Governor Haruhiko Kuroda said stable inflation was needed to trigger policy change at the central bank not yen weakness, in remarks that appeared aimed at cooling speculation of possible stimulus tweaks driven by the sliding currency and signs of heating prices.
  • The U.S. and the European Union announced an agreement to try and boost the supply of liquefied natural gas to European countries by the end of 2022 with at least 15 billion cubic meters.
  • German business confidence plunged to the lowest level since the early months of the pandemic after Russia’s invasion of Ukraine clouded the outlook and caused energy prices to soar.
  • U.K. retail sales unexpectedly fell in February as an end to coronavirus restrictions saw Britons change their spending patterns as they socialized more and returned to the office.
  • United Co. Rusal International PJSC, the huge aluminum producer fighting blow-back from Russia’s war in Ukraine, is getting some help from traders in China to keep its smelters running.

A more detailed look at global markets courtesy of Newsquawk

Asia-Pac stocks traded mixed with the growth and tech-led momentum from the US fading overnight. ASX 200 was led higher by strength in mining stocks but with upside capped by a lack of fresh catalysts. Nikkei 225 was indecisive as JPY nursed recent losses and the 10yr yield neared the BoJ’s cap. Hang Seng and Shanghai Comp. weakened with tech names pressured after the US downplayed speculation of a deal on Chinese stock listings and with the PBoC's liquidity boost only providing brief support.

Top Asian News

  • Chinese ADRs Drop Premarket After Recent Rally as Meituan Slides
  • China Bond Market Exodus Shows Signs of Gathering Pace in March
  • China Crash Mystery Deepens as Evidence Suggests Midair Breakup
  • China Talks for South Pacific Security Pact Alarm Australia

European bourses came under pressure in early trade before seeing a mild recovery. The region ultimately remains caged within tight ranges. Sectors are now mostly higher with no overarching theme. US equity futures are flat across the board but off earlier lows. ES June found support at 4,500

Top European News

  • Brookfield Agrees to Buy Hibernia REIT for $1.2 Billion in Cash
  • Russia High-Wire Act to Avoid Default Leaves Bondholders on Edge
  • NortonLifeLock, Avast Deal Faces In-Depth U.K. Probe
  • Germany Targets End to Russian Gas Imports by Middle of 2024

FX

  • The yen launches another recovery attempt after slumping to new multi year lows as pre-weekend and fy end positioning prompts turnaround - Usd/Jpy circa 121.50 vs almost 122.50 at one stage.
  • Greenback mixed otherwise as DXY rotates around 98.500 awaiting more Fed speakers.
  • Franc firm post-SNB as safe haven allure returns to an extent - Usd/Chf under 0.9300 and Eur/Chf probing 1.0200.
  • Euro underpinned by decent option expiries at 1.1000 strike in wake of a downbeat German Ifo survey, but Pound flagging after weak UK retail sales data and bleak GfK consumer sentiment reading
  • Cable under 1.3200 and close to Fib level, Eur/Gbp over 0.8350 and above several upside chart points

Fixed Income

  • Gilts and Bunds retain recovery gains after weak UK retail sales data and a bleak German Ifo survey
  • US Treasuries remain sub-par and the curve slightly steeper ahead of pending home sales final UoM survey and more Fedspeak
  • BTPs firm after top end of the range Italian debt sales

Commodities

  • WTI and Brent May contracts lost ground in early European trade with several factors in play for the oil complex, although the front-months are trimming losses.
  • EU is to work towards the aim of attaining around 50BCM of additional LNG from the US for EU members until at least 2030, according to a document.
  • German Economy Minister hopes that by summer, Germany only imports 24% of gas from Russia; in talks to tap into the Floating Storage Regasification Unit (FSRU) for LNG of 27GW capacity.
  • Elsewhere, spot gold manages to hold USD 1,950/oz+ status with its 21 DMA also seen at the psychological mark as the yellow metal waits for the next catalyst.
  • LME nickel initially soared at the open and briefly breached USD 40k/t to the upside in the 3M contract before reversing gains in what remains a volatile market

US Event Calendar

  • 10:00: Feb. Pending Home Sales (MoM), est. 1.0%, prior -5.7%; YoY, est. -2.2%, prior -9.1%;
  • 10:00: March U. of Mich. Sentiment, est. 59.7, prior 59.7
    • Expectations, est. 54.4, prior 54.4
    • Current Conditions, est. 67.5, prior 67.8
    • 1 Yr Inflation, est. 5.4%, prior 5.4%; 5-10 Yr Inflation, prior 3.0%

Central Bank Speakers

  • 10:00: Fed’s Williams Discusses Monetary Policy, Financial...
  • 11:30: Fed’s Barkin Discusses Containing Inflation
  • 12:00: Fed’s Waller Discusses Central Bank Digital Currencies

DB's Jim Reid concludes the overnight wrap

I'm supposed to be playing my first round of golf for two months tomorrow but just as my knee is slowly regaining strength so my back has folded into a state of complete agony. On Wednesday night I walked back to the tube after work and had to stop on the stairs as I was in complete agony. A sprightly old lady asked me if I was ok and needed help? I have breathtakingly painful sciatica and a second opinion last week suggested that the MRI scan showed some evidence that on one side of my back the sciatic nerve doesn't have the same room as on the other side. It therefore gets pinched every time I make a step and compounding the matter is now probably very inflamed. So after anti-inflammatories have failed, the next stops are an injection, Pilates, and then if that doesn't work an operation to shave away some of the bone. In the meantime, if anyone has any sciatica relief tips please let me know.

The relief for markets yesterday was that the data remains pretty resilient to strong across the world. In particular, the flash PMIs for March came in on the upside almost everywhere, with the Euro Area composite reading decelerating by less than expected to 54.5 (vs. 53.8 expected), whilst the US composite PMI unexpectedly rose to 58.5 (vs. 54.7 expected).

Against that backdrop, the S&P 500 (+1.43%) bounced back after the previous day’s losses, as part of a broad-based advance that saw almost 90% of the index’s constituents move higher on the day. Tech stocks led the way, with the NASDAQ (+1.93%) outperforming, and in another milestone, the VIX index of volatility fell -1.90pts to 21.7pts, its lowest closing level since February 9, a couple of days before the US warned about an imminent Russian invasion. European equities put in a more subdued performance earlier in the day though, with the STOXX 600 (-0.21%) falling back for a 2nd successive day.

The stronger data went hand-in-hand with a resumption of the bond sell-off, with yields climbing to fresh highs once again in Europe. Those on 10yr bunds (+6.4bps) and OATs (+5.5bps) both hit a post-2018 high, and 10yr BTP yields (+7.0bps) reached their highest levels in nearly a couple of years as well. In fact, as I mentioned in my chart of the day yesterday (link here), it’s recently been one of the worst times to have invested in European sovereign bonds, and if you were investing in 10yr bunds you’d need to have started before December 2013 if you were to still have a positive real return right now. Given annual inflation is currently running above 5% in Germany, it might be a while before investors are able to contemplate a sustainable positive real return again. As a reminder, if you’re not on my chart of the day and want to be then let me know.

For the US there was a similar pattern yesterday, with yields on 10yr Treasuries (+8.0bps) moving higher and closing at 2.37%, albeit not quite hitting their peak from a couple of days earlier. That comes as investors are continuing to ratchet up the implied chances of a 50bp rate hike at the next meeting in early May, with Fed funds futures now putting the odds at 77% as even dovish Fed officials join the chorus considering a +50bp hike in May. In terms of yesterday’s Fed speak, Chicago Fed President Evans, who traditionally skews dovish, said that “given the pressures that I see, I would be comfortable with just each meeting increasing by a quarter-point”, though he said he was “open-minded” about a 50bps hike if required. Despite the continued move toward a +50bp May hike, the yield curve steepened +4.2bps to 23.1bps, its highest level in a week, on the back of the strong underlying economic data.

On energy prices, Brent Crude (-2.11%) and European natural gas prices (-4.61%) fell on the announcement anticipated later today that the US is planning measures to increase exports to the EU, along with an expansion in Canadian exports announced yesterday. However, it’s not clear how impactful those exports can be in relieving supply in the near term, so we have to wait and see for the sustained impact. Elsewhere, the IOC estimated that Iran would be able to ramp up oil production to near local highs of 4mm/bbls a day, while Iranian leaders indicated that a nuclear deal could be reached in the near term, putting some more downward pressure on oil pricing.

At the NATO summit, leaders said in their statement that the Russian use of a chemical or biological weapon would “result in severe consequences”. Meanwhile, the alliance also agreed to extend Secretary-General Stoltenberg’s mandate by another year, which will have implications on the central bank side as he was due to take over as Governor of the Norges Bank later in the year. Instead, their current interim governor, Ida Wolden Bache, will take the job permanently. NATO leaders also agreed to double the number of battle groups deployed to the alliance’s eastern reaches.

At the EU summit, EU leaders joined the US in accusing Russia of war crimes in Ukraine and demanding they stop. Further, they agreed to tighten some sanctions and close the loopholes on other sanctions, while the US announced additional sanctions covering more Russian elites, lawmakers, and defense companies. As mentioned, the summit also revealed that the US is also set to announce measures to increase energy exports to the EU today, covering both oil and liquid natural gas, following reports that Canada also plans to increase their exports to nations trying to wean themselves of Russian energy. On the energy front, the EU threw water on the idea that Russia could force payments for energy exports be denominated in rubles, with Chancellor Scholz and Premier Draghi both saying that would constitute a contract default. There were also warnings of imminent food shortages from Presidents Biden and Macron as a result of the war.

The G7 also met, and echoed NATO’s warning to Russia against using biological, chemical, or nuclear weapons. President Zelensky chimed in to encourage the G7 to wrench sanctions another notch tighter as well.

On the war itself, a senior Ukrainian aid noted the situation on the ground was basically frozen, while there were reports of cautious optimism about negotiations sealing a ceasefire deal.

Overnight in Asia, equity markets are struggling to build on an overnight rally on Wall Street with almost all major bourses in negative territory. The Hang Seng (-1.62%) is leading losses across the region after Tencent Holdings reported its slowest ever quarterly revenue growth yesterday. Meanwhile, shares of JD Logistics dropped more than -12% after the company announced that it will raise H$8.53 billion ($1.09 billion) through a share sale. Chinese stocks are trading lower with the Shanghai Composite (-0.47%) and CSI (-0.94%) both down amid some US-China tension over Russia's war against Ukraine while the Kospi (+0.06%) is swinging between gains and losses. Elsewhere, the Nikkei (-0.30%) has lost ground this morning, reversing its earlier gains after stronger inflation data. Tokyo’s core CPI rose +0.8% y/y in March, the fastest pace since December 2019, versus +0.7% expected and a 0.5% gain in February. Additionally, the overall CPI reading in March advanced +1.3% from a year earlier, hitting the highest since April 2019 and against a +1.0% rise in the prior month. The stronger-than-expected data pushed yields on 10-yr JGBs to move higher to 0.24%, close to its upper limit of 0.25% where many expect the BoJ to intervene and buy unlimited amounts of bonds. So watch this space.

Looking forward, stock futures in the US are pointing towards a slightly stronger start with contracts on the S&P 500 (+0.19%), Nasdaq 100 (+0.20%) and Dow Jones (+0.19%) all in positive territory.

Back to yesterday, and while the flash PMIs set the tone on the data side, other releases pointed towards a strong performance into March. One was the weekly initial jobless claims from the US, which fell to 187k in the week through March 19 (vs. 210k expected), which is actually their lowest level since 1969. Continuing claims for the week through March 12 also fell to 1.35m (vs. 1.4m expected), marking their lowest level since 1970. On the other hand, the preliminary February reading for durable goods orders showed a larger-than-expected -2.2% contraction (vs. -0.6% expected), whilst core capital goods orders were down -0.3% (vs. +0.5% expected).

To the day ahead now, and data releases include UK retail sales for February, Germany’s Ifo business climate indicator for March, and the Euro Area M3 money supply for February. Over in the US, there’s also February’s pending home sales, and the final University of Michigan consumer sentiment index for March. Meanwhile from central banks, today’s Fed speakers will include Waller, Williams and Barkin.

 

Tyler Durden Fri, 03/25/2022 - 07:50

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Government

Rand Paul Teases Senate GOP Leader Run – Musk Says “I Would Support”

Rand Paul Teases Senate GOP Leader Run – Musk Says "I Would Support"

Republican Kentucky Senator Rand Paul on Friday hinted that he may jump…

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Rand Paul Teases Senate GOP Leader Run - Musk Says "I Would Support"

Republican Kentucky Senator Rand Paul on Friday hinted that he may jump into the race to become the next Senate GOP leader, and Elon Musk was quick to support the idea. Republicans must find a successor for periodically malfunctioning Mitch McConnell, who recently announced he'll step down in November, though intending to keep his Senate seat until his term ends in January 2027, when he'd be within weeks of turning 86. 

So far, the announced field consists of two quintessential establishment types: John Cornyn of Texas and John Thune of South Dakota. While John Barrasso's name had been thrown around as one of "The Three Johns" considered top contenders, the Wyoming senator on Tuesday said he'll instead seek the number two slot as party whip. 

Paul used X to tease his potential bid for the position which -- if the GOP takes back the upper chamber in November -- could graduate from Minority Leader to Majority Leader. He started by telling his 5.1 million followers he'd had lots of people asking him about his interest in running...

...then followed up with a poll in which he predictably annihilated Cornyn and Thune, taking a 96% share as of Friday night, with the other two below 2% each. 

Elon Musk was quick to back the idea of Paul as GOP leader, while daring Cornyn and Thune to follow Paul's lead by throwing their names out for consideration by the Twitter-verse X-verse. 

Paul has been a stalwart opponent of security-state mass surveillance, foreign interventionism -- to include shoveling billions of dollars into the proxy war in Ukraine -- and out-of-control spending in general. He demonstrated the latter passion on the Senate floor this week as he ridiculed the latest kick-the-can spending package:   

In February, Paul used Senate rules to force his colleagues into a grueling Super Bowl weekend of votes, as he worked to derail a $95 billion foreign aid bill. "I think we should stay here as long as it takes,” said Paul. “If it takes a week or a month, I’ll force them to stay here to discuss why they think the border of Ukraine is more important than the US border.”

Don't expect a Majority Leader Paul to ditch the filibuster -- he's been a hardy user of the legislative delay tactic. In 2013, he spoke for 13 hours to fight the nomination of John Brennan as CIA director. In 2015, he orated for 10-and-a-half-hours to oppose extension of the Patriot Act

Rand Paul amid his 10 1/2 hour filibuster in 2015

Among the general public, Paul is probably best known as Capitol Hill's chief tormentor of Dr. Anthony Fauci, who was director of the National Institute of Allergy and Infectious Disease during the Covid-19 pandemic. Paul says the evidence indicates the virus emerged from China's Wuhan Institute of Virology. He's accused Fauci and other members of the US government public health apparatus of evading questions about their funding of the Chinese lab's "gain of function" research, which takes natural viruses and morphs them into something more dangerous. Paul has pointedly said that Fauci committed perjury in congressional hearings and that he belongs in jail "without question."   

Musk is neither the only nor the first noteworthy figure to back Paul for party leader. Just hours after McConnell announced his upcoming step-down from leadership, independent 2024 presidential candidate Robert F. Kennedy, Jr voiced his support: 

In a testament to the extent to which the establishment recoils at the libertarian-minded Paul, mainstream media outlets -- which have been quick to report on other developments in the majority leader race -- pretended not to notice that Paul had signaled his interest in the job. More than 24 hours after Paul's test-the-waters tweet-fest began, not a single major outlet had brought it to the attention of their audience. 

That may be his strongest endorsement yet. 

Tyler Durden Sun, 03/10/2024 - 20:25

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Government

The Great Replacement Loophole: Illegal Immigrants Score 5-Year Work Benefit While “Waiting” For Deporation, Asylum

The Great Replacement Loophole: Illegal Immigrants Score 5-Year Work Benefit While "Waiting" For Deporation, Asylum

Over the past several…

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The Great Replacement Loophole: Illegal Immigrants Score 5-Year Work Benefit While "Waiting" For Deporation, Asylum

Over the past several months we've pointed out that there has  been zero job creation for native-born workers since the summer of 2018...

... and that since Joe Biden was sworn into office, most of the post-pandemic job gains the administration continuously brags about have gone foreign-born (read immigrants, mostly illegal ones) workers.

And while the left might find this data almost as verboten as FBI crime statistics - as it directly supports the so-called "great replacement theory" we're not supposed to discuss - it also coincides with record numbers of illegal crossings into the United States under Biden.

In short, the Biden administration opened the floodgates, 10 million illegal immigrants poured into the country, and most of the post-pandemic "jobs recovery" went to foreign-born workers, of which illegal immigrants represent the largest chunk.

Asylum seekers from Venezuela await work permits on June 28, 2023 (via the Chicago Tribune)

'But Tyler, illegal immigrants can't possibly work in the United States whilst awaiting their asylum hearings,' one might hear from the peanut gallery. On the contrary: ever since Biden reversed a key aspect of Trump's labor policies, all illegal immigrants - even those awaiting deportation proceedings - have been given carte blanche to work while awaiting said proceedings for up to five years...

... something which even Elon Musk was shocked to learn.

Which leads us to another question: recall that the primary concern for the Biden admin for much of 2022 and 2023 was soaring prices, i.e., relentless inflation in general, and rising wages in particular, which in turn prompted even Goldman to admit two years ago that the diabolical wage-price spiral had been unleashed in the US (diabolical, because nothing absent a major economic shock, read recession or depression, can short-circuit it once it is in place).

Well, there is one other thing that can break the wage-price spiral loop: a flood of ultra-cheap illegal immigrant workers. But don't take our word for it: here is Fed Chair Jerome Powell himself during his February 60 Minutes interview:

PELLEY: Why was immigration important?

POWELL: Because, you know, immigrants come in, and they tend to work at a rate that is at or above that for non-immigrants. Immigrants who come to the country tend to be in the workforce at a slightly higher level than native Americans do. But that's largely because of the age difference. They tend to skew younger.

PELLEY: Why is immigration so important to the economy?

POWELL: Well, first of all, immigration policy is not the Fed's job. The immigration policy of the United States is really important and really much under discussion right now, and that's none of our business. We don't set immigration policy. We don't comment on it.

I will say, over time, though, the U.S. economy has benefited from immigration. And, frankly, just in the last, year a big part of the story of the labor market coming back into better balance is immigration returning to levels that were more typical of the pre-pandemic era.

PELLEY: The country needed the workers.

POWELL: It did. And so, that's what's been happening.

Translation: Immigrants work hard, and Americans are lazy. But much more importantly, since illegal immigrants will work for any pay, and since Biden's Department of Homeland Security, via its Citizenship and Immigration Services Agency, has made it so illegal immigrants can work in the US perfectly legally for up to 5 years (if not more), one can argue that the flood of illegals through the southern border has been the primary reason why inflation - or rather mostly wage inflation, that all too critical component of the wage-price spiral  - has moderated in in the past year, when the US labor market suddenly found itself flooded with millions of perfectly eligible workers, who just also happen to be illegal immigrants and thus have zero wage bargaining options.

None of this is to suggest that the relentless flood of immigrants into the US is not also driven by voting and census concerns - something Elon Musk has been pounding the table on in recent weeks, and has gone so far to call it "the biggest corruption of American democracy in the 21st century", but in retrospect, one can also argue that the only modest success the Biden admin has had in the past year - namely bringing inflation down from a torrid 9% annual rate to "only" 3% - has also been due to the millions of illegals he's imported into the country.

We would be remiss if we didn't also note that this so often carries catastrophic short-term consequences for the social fabric of the country (the Laken Riley fiasco being only the latest example), not to mention the far more dire long-term consequences for the future of the US - chief among them the trillions of dollars in debt the US will need to incur to pay for all those new illegal immigrants Democrat voters and low-paid workers. This is on top of the labor revolution that will kick in once AI leads to mass layoffs among high-paying, white-collar jobs, after which all those newly laid off native-born workers hoping to trade down to lower paying (if available) jobs will discover that hardened criminals from Honduras or Guatemala have already taken them, all thanks to Joe Biden.

Tyler Durden Sun, 03/10/2024 - 19:15

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‘I couldn’t stand the pain’: the Turkish holiday resort that’s become an emergency dental centre for Britons who can’t get treated at home

The crisis in NHS dentistry is driving increasing numbers abroad for treatment. Here are some of their stories.

This clinic in the Turkish resort of Antalya is the official 'dental sponsor' of the Miss England competition. Diana Ibanez-Tirado, Author provided

It’s a hot summer day in the Turkish city of Antalya, a Mediterranean resort with golden beaches, deep blue sea and vibrant nightlife. The pool area of the all-inclusive resort is crammed with British people on sun loungers – but they aren’t here for a holiday. This hotel is linked to a dental clinic that organises treatment packages, and most of these guests are here to see a dentist.

From Norwich, two women talk about gums and injections. A man from Wales holds a tissue close to his mouth and spits blood – he has just had two molars extracted.

The dental clinic organises everything for these dental “tourists” throughout their treatment, which typically lasts from three to 15 days. The stories I hear of what has caused them to travel to Turkey are strikingly similar: all have struggled to secure dental treatment at home on the NHS.

“The hotel is nice and some days I go to the beach,” says Susan*, a hairdresser in her mid-30s from Norwich. “But really, we aren’t tourists like in a proper holiday. We come here because we have no choice. I couldn’t stand the pain.”

Seaside beach resort with mountains in the distance
The Turkish Mediterranean resort of Antalya. Akimov Konstantin/Shutterstock

This is Susan’s second visit to Antalya. She explains that her ordeal started two years earlier:

I went to an NHS dentist who told me I had gum disease … She did some cleaning to my teeth and gums but it got worse. When I ate, my teeth were moving … the gums were bleeding and it was very painful. I called to say I was in pain but the clinic was not accepting NHS patients any more.

The only option the dentist offered Susan was to register as a private patient:

I asked how much. They said £50 for x-rays and then if the gum disease got worse, £300 or so for extraction. Four of them were moving – imagine: £1,200 for losing your teeth! Without teeth I’d lose my clients, but I didn’t have the money. I’m a single mum. I called my mum and cried.

Susan’s mother told her about a friend of hers who had been to Turkey for treatment, then together they found a suitable clinic:

The prices are so much cheaper! Tooth extraction, x-rays, consultations – it all comes included. The flight and hotel for seven days cost the same as losing four teeth in Norwich … I had my lower teeth removed here six months ago, now I’ve got implants … £2,800 for everything – hotel, transfer, treatments. I only paid the flights separately.

In the UK, roughly half the adult population suffers from periodontitis – inflammation of the gums caused by plaque bacteria that can lead to irreversible loss of gums, teeth, and bone. Regular reviews by a dentist or hygienist are required to manage this condition. But nine out of ten dental practices cannot offer NHS appointments to new adult patients, while eight in ten are not accepting new child patients.

Some UK dentists argue that Britons who travel abroad for treatment do so mainly for cosmetic procedures. They warn that dental tourism is dangerous, and that if their treatment goes wrong, dentists in the UK will be unable to help because they don’t want to be responsible for further damage. Susan shrugs this off:

Dentists in England say: ‘If you go to Turkey, we won’t touch you [afterwards].’ But I don’t worry because there are no appointments at home anyway. They couldn’t help in the first place, and this is why we are in Turkey.

‘How can we pay all this money?’

As a social anthropologist, I travelled to Turkey a number of times in 2023 to investigate the crisis of NHS dentistry, and the journeys abroad that UK patients are increasingly making as a result. I have relatives in Istanbul and have been researching migration and trading patterns in Turkey’s largest city since 2016.

In August 2023, I visited the resort in Antalya, nearly 400 miles south of Istanbul. As well as Susan, I met a group from a village in Wales who said there was no provision of NHS dentistry back home. They had organised a two-week trip to Turkey: the 12-strong group included a middle-aged couple with two sons in their early 20s, and two couples who were pensioners. By going together, Anya tells me, they could support each other through their different treatments:

I’ve had many cavities since I was little … Before, you could see a dentist regularly – you didn’t even think about it. If you had pain or wanted a regular visit, you phoned and you went … That was in the 1990s, when I went to the dentist maybe every year.

Anya says that once she had children, her family and work commitments meant she had no time to go to the dentist. Then, years later, she started having serious toothache:

Every time I chewed something, it hurt. I ate soups and soft food, and I also lost weight … Even drinking was painful – tea: pain, cold water: pain. I was taking paracetamol all the time! I went to the dentist to fix all this, but there were no appointments.

Anya was told she would have to wait months, or find a dentist elsewhere:

A private clinic gave me a list of things I needed done. Oh my God, almost £6,000. My husband went too – same story. How can we pay all this money? So we decided to come to Turkey. Some people we know had been here, and others in the village wanted to come too. We’ve brought our sons too – they also need to be checked and fixed. Our whole family could be fixed for less than £6,000.

By the time they travelled, Anya’s dental problems had turned into a dental emergency. She says she could not live with the pain anymore, and was relying on paracetamol.

In 2023, about 6 million adults in the UK experienced protracted pain (lasting more than two weeks) caused by toothache. Unintentional paracetamol overdose due to dental pain is a significant cause of admissions to acute medical units. If left untreated, tooth infections can spread to other parts of the body and cause life-threatening complications – and on rare occasions, death.

In February 2024, police were called to manage hundreds of people queuing outside a newly opened dental clinic in Bristol, all hoping to be registered or seen by an NHS dentist. One in ten Britons have admitted to performing “DIY dentistry”, of which 20% did so because they could not find a timely appointment. This includes people pulling out their teeth with pliers and using superglue to repair their teeth.

In the 1990s, dentistry was almost entirely provided through NHS services, with only around 500 solely private dentists registered. Today, NHS dentist numbers in England are at their lowest level in a decade, with 23,577 dentists registered to perform NHS work in 2022-23, down 695 on the previous year. Furthermore, the precise division of NHS and private work that each dentist provides is not measured.

The COVID pandemic created longer waiting lists for NHS treatment in an already stretched public service. In Bridlington, Yorkshire, people are now reportedly having to wait eight-to-nine years to get an NHS dental appointment with the only remaining NHS dentist in the town.

In his book Patients of the State (2012), Argentine sociologist Javier Auyero describes the “indignities of waiting”. It is the poor who are mostly forced to wait, he writes. Queues for state benefits and public services constitute a tangible form of power over the marginalised. There is an ethnic dimension to this story, too. Data suggests that in the UK, patients less likely to be effective in booking an NHS dental appointment are non-white ethnic groups and Gypsy or Irish travellers, and that it is particularly challenging for refugees and asylum-seekers to access dental care.


This article is part of Conversation Insights
The Insights team generates long-form journalism derived from interdisciplinary research. The team is working with academics from different backgrounds who have been engaged in projects aimed at tackling societal and scientific challenges.


In 2022, I experienced my own dental emergency. An infected tooth was causing me debilitating pain, and needed root canal treatment. I was advised this would cost £71 on the NHS, plus £307 for a follow-up crown – but that I would have to wait months for an appointment. The pain became excruciating – I could not sleep, let alone wait for months. In the same clinic, privately, I was quoted £1,300 for the treatment (more than half my monthly income at the time), or £295 for a tooth extraction.

I did not want to lose my tooth because of lack of money. So I bought a flight to Istanbul immediately for the price of the extraction in the UK, and my tooth was treated with root canal therapy by a private dentist there for £80. Including the costs of travelling, the total was a third of what I was quoted to be treated privately in the UK. Two years on, my treated tooth hasn’t given me any more problems.

A better quality of life

Not everyone is in Antalya for emergency procedures. The pensioners from Wales had contacted numerous clinics they found on the internet, comparing prices, treatments and hotel packages at least a year in advance, in a carefully planned trip to get dental implants – artificial replacements for tooth roots that help support dentures, crowns and bridges.

Street view of a dental clinic in Antalya, Turkey
Dental clinic in Antalya, Turkey. Diana Ibanez-Tirado, CC BY-NC-ND

In Turkey, all the dentists I speak to (most of whom cater mainly for foreigners, including UK nationals) consider implants not a cosmetic or luxurious treatment, but a development in dentistry that gives patients who are able to have the procedure a much better quality of life. This procedure is not available on the NHS for most of the UK population, and the patients I meet in Turkey could not afford implants in private clinics back home.

Paul is in Antalya to replace his dentures, which have become uncomfortable and irritating to his gums, with implants. He says he couldn’t find an appointment to see an NHS dentist. His wife Sonia went through a similar procedure the year before and is very satisfied with the results, telling me: “Why have dentures that you need to put in a glass overnight, in the old style? If you can have implants, I say, you’re better off having them.”

Most of the dental tourists I meet in Antalya are white British: this city, known as the Turkish Riviera, has developed an entire economy catering to English-speaking tourists. In 2023, more than 1.3 million people visited the city from the UK, up almost 15% on the previous year.


Read more: NHS dentistry is in crisis – are overseas dentists the answer?


In contrast, the Britons I meet in Istanbul are predominantly from a non-white ethnic background. Omar, a pensioner of Pakistani origin in his early 70s, has come here after waiting “half a year” for an NHS appointment to fix the dental bridge that is causing him pain. Omar’s son had been previously for a hair transplant, and was offered a free dental checkup by the same clinic, so he suggested it to his father. Having worked as a driver for a manufacturing company for two decades in Birmingham, Omar says he feels disappointed to have contributed to the British economy for so long, only to be “let down” by the NHS:

At home, I must wait and wait and wait to get a bridge – and then I had many problems with it. I couldn’t eat because the bridge was uncomfortable and I was in pain, but there were no appointments on the NHS. I asked a private dentist and they recommended implants, but they are far too expensive [in the UK]. I started losing weight, which is not a bad thing at the beginning, but then I was worrying because I couldn’t chew and eat well and was losing more weight … Here in Istanbul, I got dental implants – US$500 each, problem solved! In England, each implant is maybe £2,000 or £3,000.

In the waiting area of another clinic in Istanbul, I meet Mariam, a British woman of Iraqi background in her late 40s, who is making her second visit to the dentist here. Initially, she needed root canal therapy after experiencing severe pain for weeks. Having been quoted £1,200 in a private clinic in outer London, Mariam decided to fly to Istanbul instead, where she was quoted £150 by a dentist she knew through her large family. Even considering the cost of the flight, Mariam says the decision was obvious:

Dentists in England are so expensive and NHS appointments so difficult to find. It’s awful there, isn’t it? Dentists there blamed me for my rotten teeth. They say it’s my fault: I don’t clean or I ate sugar, or this or that. I grew up in a village in Iraq and didn’t go to the dentist – we were very poor. Then we left because of war, so we didn’t go to a dentist … When I arrived in London more than 20 years ago, I didn’t speak English, so I still didn’t go to the dentist … I think when you move from one place to another, you don’t go to the dentist unless you are in real, real pain.

In Istanbul, Mariam has opted not only for the urgent root canal treatment but also a longer and more complex treatment suggested by her consultant, who she says is a renowned doctor from Syria. This will include several extractions and implants of back and front teeth, and when I ask what she thinks of achieving a “Hollywood smile”, Mariam says:

Who doesn’t want a nice smile? I didn’t come here to be a model. I came because I was in pain, but I know this doctor is the best for implants, and my front teeth were rotten anyway.

Dentists in the UK warn about the risks of “overtreatment” abroad, but Mariam appears confident that this is her opportunity to solve all her oral health problems. Two of her sisters have already been through a similar treatment, so they all trust this doctor.

Alt text
An Istanbul clinic founded by Afghan dentists has a message for its UK customers. Diana Ibanez-Tirado, CC BY-NC-ND

The UK’s ‘dental deserts’

To get a fuller understanding of the NHS dental crisis, I’ve also conducted 20 interviews in the UK with people who have travelled or were considering travelling abroad for dental treatment.

Joan, a 50-year-old woman from Exeter, tells me she considered going to Turkey and could have afforded it, but that her back and knee problems meant she could not brave the trip. She has lost all her lower front teeth due to gum disease and, when I meet her, has been waiting 13 months for an NHS dental appointment. Joan tells me she is living in “shame”, unable to smile.

In the UK, areas with extremely limited provision of NHS dental services – known as as “dental deserts” – include densely populated urban areas such as Portsmouth and Greater Manchester, as well as many rural and coastal areas.

In Felixstowe, the last dentist taking NHS patients went private in 2023, despite the efforts of the activist group Toothless in Suffolk to secure better access to NHS dentists in the area. It’s a similar story in Ripon, Yorkshire, and in Dumfries & Galloway, Scotland, where nearly 25,000 patients have been de-registered from NHS dentists since 2021.

Data shows that 2 million adults must travel at least 40 miles within the UK to access dental care. Branding travel for dental care as “tourism” carries the risk of disguising the elements of duress under which patients move to restore their oral health – nationally and internationally. It also hides the immobility of those who cannot undertake such journeys.

The 90-year-old woman in Dumfries & Galloway who now faces travelling for hours by bus to see an NHS dentist can hardly be considered “tourism” – nor the Ukrainian war refugees who travelled back from West Sussex and Norwich to Ukraine, rather than face the long wait to see an NHS dentist.

Many people I have spoken to cannot afford the cost of transport to attend dental appointments two hours away – or they have care responsibilities that make it impossible. Instead, they are forced to wait in pain, in the hope of one day securing an appointment closer to home.

Billboard advertising a dental clinic in Turkey
Dental clinics have mushroomed in recent years in Turkey, thanks to the influx of foreign patients seeking a wide range of treatments. Diana Ibanez-Tirado, CC BY-NC-ND

‘Your crisis is our business’

The indignities of waiting in the UK are having a big impact on the lives of some local and foreign dentists in Turkey. Some neighbourhoods are rapidly changing as dental and other health clinics, usually in luxurious multi-storey glass buildings, mushroom. In the office of one large Istanbul medical complex with sections for hair transplants and dentistry (plus one linked to a hospital for more extensive cosmetic surgery), its Turkish owner and main investor tells me:

Your crisis is our business, but this is a bazaar. There are good clinics and bad clinics, and unfortunately sometimes foreign patients do not know which one to choose. But for us, the business is very good.

This clinic only caters to foreign patients. The owner, an architect by profession who also developed medical clinics in Brazil, describes how COVID had a major impact on his business:

When in Europe you had COVID lockdowns, Turkey allowed foreigners to come. Many people came for ‘medical tourism’ – we had many patients for cosmetic surgery and hair transplants. And that was when the dental business started, because our patients couldn’t see a dentist in Germany or England. Then more and more patients started to come for dental treatments, especially from the UK and Ireland. For them, it’s very, very cheap here.

The reasons include the value of the Turkish lira relative to the British pound, the low cost of labour, the increasing competition among Turkish clinics, and the sheer motivation of dentists here. While most dentists catering to foreign patients are from Turkey, others have arrived seeking refuge from war and violence in Syria, Iraq, Afghanistan, Iran and beyond. They work diligently to rebuild their lives, careers and lost wealth.

Regardless of their origin, all dentists in Turkey must be registered and certified. Hamed, a Syrian dentist and co-owner of a new clinic in Istanbul catering to European and North American patients, tells me:

I know that you say ‘Syrian’ and people think ‘migrant’, ‘refugee’, and maybe think ‘how can this dentist be good?’ – but Syria, before the war, had very good doctors and dentists. Many of us came to Turkey and now I have a Turkish passport. I had to pass the exams to practise dentistry here – I study hard. The exams are in Turkish and they are difficult, so you cannot say that Syrian doctors are stupid.

Hamed talks excitedly about the latest technology that is coming to his profession: “There are always new materials and techniques, and we cannot stop learning.” He is about to travel to Paris to an international conference:

I can say my techniques are very advanced … I bet I put more implants and do more bone grafting and surgeries every week than any dentist you know in England. A good dentist is about practice and hand skills and experience. I work hard, very hard, because more and more patients are arriving to my clinic, because in England they don’t find dentists.

Dental equipment in a Turkish treatment room
Dentists in Turkey boast of using the latest technology. Diana Ibanez-Tirado, CC BY-NC-ND

While there is no official data about the number of people travelling from the UK to Turkey for dental treatment, investors and dentists I speak to consider that numbers are rocketing. From all over the world, Turkey received 1.2 million visitors for “medical tourism” in 2022, an increase of 308% on the previous year. Of these, about 250,000 patients went for dentistry. One of the most renowned dental clinics in Istanbul had only 15 British patients in 2019, but that number increased to 2,200 in 2023 and is expected to reach 5,500 in 2024.

Like all forms of medical care, dental treatments carry risks. Most clinics in Turkey offer a ten-year guarantee for treatments and a printed clinical history of procedures carried out, so patients can show this to their local dentists and continue their regular annual care in the UK. Dental treatments, checkups and maintaining a good oral health is a life-time process, not a one-off event.

Many UK patients, however, are caught between a rock and a hard place – criticised for going abroad, yet unable to get affordable dental care in the UK before and after their return. The British Dental Association has called for more action to inform these patients about the risks of getting treated overseas – and has warned UK dentists about the legal implications of treating these patients on their return. But this does not address the difficulties faced by British patients who are being forced to go abroad in search of affordable, often urgent dental care.

A global emergency

The World Health Organization states that the explosion of oral disease around the world is a result of the “negligent attitude” that governments, policymakers and insurance companies have towards including oral healthcare under the umbrella of universal healthcare. It as if the health of our teeth and mouth is optional; somehow less important than treatment to the rest of our body. Yet complications from untreated tooth decay can lead to hospitalisation.

The main causes of oral health diseases are untreated tooth decay, severe gum disease, toothlessness, and cancers of the lip and oral cavity. Cases grew during the pandemic, when little or no attention was paid to oral health. Meanwhile, the global cosmetic dentistry market is predicted to continue growing at an annual rate of 13% for the rest of this decade, confirming the strong relationship between socioeconomic status and access to oral healthcare.

In the UK since 2018, there have been more than 218,000 admissions to hospital for rotting teeth, of which more than 100,000 were children. Some 40% of children in the UK have not seen a dentist in the past 12 months. The role of dentists in prevention of tooth decay and its complications, and in the early detection of mouth cancer, is vital. While there is a 90% survival rate for mouth cancer if spotted early, the lack of access to dental appointments is causing cases to go undetected.

The reasons for the crisis in NHS dentistry are complex, but include: the real-term cuts in funding to NHS dentistry; the challenges of recruitment and retention of dentists in rural and coastal areas; pay inequalities facing dental nurses, most of them women, who are being badly hit by the cost of living crisis; and, in England, the 2006 Dental Contract that does not remunerate dentists in a way that encourages them to continue seeing NHS patients.

The UK is suffering a mass exodus of the public dentistry workforce, with workers leaving the profession entirely or shifting to the private sector, where payments and life-work balance are better, bureaucracy is reduced, and prospects for career development look much better. A survey of general dental practitioners found that around half have reduced their NHS work since the pandemic – with 43% saying they were likely to go fully private, and 42% considering a career change or taking early retirement.

Reversing the UK’s dental crisis requires more commitment to substantial reform and funding than the “recovery plan” announced by Victoria Atkins, the secretary of state for health and social care, on February 7.

The stories I have gathered show that people travelling abroad for dental treatment don’t see themselves as “tourists” or vanity-driven consumers of the “Hollywood smile”. Rather, they have been forced by the crisis in NHS dentistry to seek out a service 1,500 miles away in Turkey that should be a basic, affordable right for all, on their own doorstep.

*Names in this article have been changed to protect the anonymity of the interviewees.


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Diana Ibanez Tirado receives funding from the School of Global Studies, University of Sussex.

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