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Futures Recover Overnight Losses After Torrid Thursday Rally As Uneasy Calm Returns

Futures Recover Overnight Losses After Torrid Thursday Rally As Uneasy Calm Returns

After yesterday’s furious gamma-squeeze rally, U.S. stock…

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Futures Recover Overnight Losses After Torrid Thursday Rally As Uneasy Calm Returns

After yesterday's furious gamma-squeeze rally, U.S. stock futures were slightly lower on the day, although near the overnight session highs as the ongoing Ukraine conflict and impact of Western sanctions continue to drive risk; sentiment was boosted after the Kremlin said that Ukraine’s neutrality offer is a move “toward positive” and following reports that China's president Xi held a phone call with Putin who said Russia is willing to conduct high-level negotiations with Ukraine. S&P futures were down 10 points to 0.25% at 7:30am, after paring earlier declines of more than 1%, with Nasdaq futures down -0.15% and Dow futures down 0.4%. Europe's Stoxx Europe 600 was in the green, and oil was steady after Bloomberg reported that oil importers in China are briefly pausing new seaborne purchases as they assess the potential implications of handling the shipments following the Ukraine invasion. Gold was steady, while Brent crude reached $100 a barrel and Treasuries rose.

In the latest developments, Ukraine’s president Zelensky said Moscow-led forces were continuing attacks on military and civilian targets on the second day of their invasion. Leaders from the North Atlantic Treaty Organization will hold virtual talks on the alliance’s next steps starting at 3 p.m. in Brussels. Meanwhile, President Joe Biden imposed stiffer sanctions on Russia, promising to inflict a “severe cost on the Russian economy” that will hamper its ability to do business in foreign currencies after Moscow-led forces attacked military targets in Ukraine, triggering the worst security crisis in Europe since World War II. China urged Russia and Ukraine to negotiate to address problems, according to Chinese state TV.  Here is a full recap of the latest Ukraine developments:

  • There were reports of heavy explosions rocking the Ukrainian capital of Kyiv and US Senator Rubio tweeted it appeared that at least three dozen missiles were fired at the Kyiv are in 40 minutes, while Ukrainian Foreign Minister Kuleba confirmed Russian rockets fired at Kyiv and President Zelensky also noted Russia resumed missile strikes at 04:00 local time/02:00GMT. Russia has not undertaken missile strikes on Kyiv, according to Russian press citing a source in the Defence Ministry.
  • There is currently gunfire in Kyiv with Russians in the City, according to a reporter (08:45GMT/03:45EST)
  • Gunfire has been heard near the government quarter of Kyiv, Ukraine, via LBC News (09:09GMT/04:09EST)
  • Ukrainian military vehicles seized by Russian troops wearing Ukrainian uniforms, heading for Kyiv, defense official says - UNIAN, cited by BNO News.
  • Russian paratroopers take control of Chernobyl nuclear power plant, according to the Ministry of Defence cited by Sputnik. Additionally, Ukraine nuclear agency says it is seeing higher radiation levels in Chernobyl; note, Sky News reports that the increase is insignificant and is due to military vehicles moving around the reactor.
  • Ukraine President adviser says that Ukraine wants peace, if negotiations are still possible, they should be undertaken. Subsequently, Russian Foreign Minister Lavrov says that Ukraine President Zelenskiy is "lying" when he says he is prepared to discuss the neutral status of Ukraine; however, the Kremlin says it has taken note of Kyiv's willingness to discuss neutral status; will need to analyze this.
  • Ukraine President Zelensky says the Russian assault is like a repeat of WW2, accuses Europe of an insufficient reaction, Europe can still stop the Russian aggression if they act quickly.
  • Ukrainian President Zelensky has proposed Russian President Putin joins him at the negotiating table, according to Ria.

In premarket trading, Block jumped after fourth-quarter sales beat consensus, while Coinbase dropped after warning that trading volume will decline in the first quarter. Zscaler slumped 13% after the security software company’s second-quarter results failed to live up to the most optimistic expectations, even though they beat estimates. Analysts slashed their price targets, including a new Street-low at Barclays. Here are some of the other notable U.S. premarket movers today:

  • Block Inc. (SQ US) shares climb 15% in U.S. premarket trading after the firm posted fourth-quarter sales that beat Street consensus. Analysts say the results are a relief, supported by “impressive” Cash App figures.
  • Coinbase Global Inc. (COIN US) shares were 1.6% lower in premarket trading after the biggest U.S. cryptocurrency exchange cautioned that trading volume will decline in the first quarter.
  • Etsy (ETSY US) shares are up about 18% in premarket trading, after the e- commerce company reported fourth-quarter results that featured better-than-expected revenue and gross merchandise sales. It also gave a forecast.
  • Beyond Meat (BYND US) shares dropped 10% in premarket as analyst questioned its profitability outlook and pricing strategy after the maker of plant-based foods forecast sales that missed market expectations.
  • KAR Auction Services (CVNA US) climbs 50% in U.S. premarket after agreeing to sell its Adesa U.S. physical auction business to Carvana for $2.2 billion in cash. Truist Securities sees positive implications for both stocks.
  • Farfetch (FTCH US) shares rally 27% in premarket trading after co. posted a smaller-than-expected 4Q loss.

A prolonged conflict could deliver a major blow to global markets and slow the normalization of central bank policy that’s expected this year. Wall Street strategists cut their forecasts on European equities on concern that the war in Ukraine will hurt economic growth, with Goldman Sachs Group Inc. expecting virtually no full-year returns.

A the same time, disruptions of raw materials and food could stoke already-high prices and heap pressure on central banks to act faster to curb inflation. Russia remains a commodity powerhouse and Ukraine is a major grain exporter. Markets still see around six quarter-point increases by the Federal Reserve, but bets on other central bank’s hiking cycles have been pared in recent days.

“This conflict implies a further deterioration of the already tricky growth-inflation trade-offs central banks have been facing, making the upcoming decisions particularly hard,” Silvia Dall’Angelo, senior economist at the international business of Federated Hermes, wrote in a note to clients. “Downside growth risks from the geopolitical backdrop mean that they are likely to proceed gradually and cautiously.”

Penalties by the U.S. and its allies spared Russia’s oil exports and avoided blocking access to the Swift global payment network. With flows of natural gas returning to Europe, prices reversed a record-breaking rally with the benchmark contract down as much as 28%.

European stocks climbed as investors bought the dip after a volatile week led by developments on the Ukrainian front. Stocks trade at session highs after the Kremlin says that Ukraine’s neutrality offer is a move “toward positive” while oil slips to session low. U.S. futures decline. Euro Stoxx 50 rallies 1.2%. FTSE 100 outperforms, adding 1.8%, IBEX lags, adding 0.9%. CAC 40 up 1.3%. Utilities, real estate and food & beverages are the strongest sectors. Russia’s MOEX index rebounds, rising ~15%. Here are some of the biggest European movers today:

  • European shares in sectors that were beaten down by Russia risk on Thursday rebound, with travel and basic resource stocks among the top gainers, as well as banks with exposure to eastern Europe.
  • Bank Polska Kasa Opieki +14%, Dino Polska +7.3%, Polymetal International +7.5%, Wizz Air +5.8%
  • The European utility sector leads gains among subindexes on the Stoxx 600, gaining about 5%, after European natural gas prices halted their rally rally, as Russian flows to the continent ramped up.
  • Rightmove shares rise as much as 7.4% after the online property listings firm reported FY revenue growth of 48% from a year earlier. The results show encouraging momentum into 2022, Numis says.
  • Pearson has its biggest gain in almost a year, rising 11% after results. Goldman Sachs notes the education publisher’s adjusted operating profit for FY22 was in line with market expectations.
  • Freenet rises as much as 6.7% after results, the most since May, as analysts see positive profitability updates despite revenue weakness.
  • Vallourec climbs as much as 20% after the French steel-pipe maker gave guidance that Oddo BHF calls “reassuring” in spite of incidents at a Brazil mine.
  • Valeo falls as much as 12% in Paris after the French company set out targets for this year and 2025, with analysts noting 2022 guidance came in below expectations.
  • BASF drops as much as 4.9% in Frankfurt after adjusted Ebit missed consensus and results show a squeeze on margins, Berenberg said.
  • Swiss Re plunges as much as 8.4% after reporting results that missed analyst estimates. The insurer also proposed new targets that “don’t seem supportive enough,” Citi writes.
  • Casino slumps as much as 17% to its lowest level in more than three decades after the French grocer reported FY results that Jefferies says showed “no progress” on deleveraging.

An uneasy calm returned to Asia’s stock markets on Friday, as investors assessed the fallout of Russia’s invasion of Ukraine and the outlook for China’s tech sector. The MSCI Asia Pacific Index climbed as much as 1.2%, rallying from its worst drop in a year on Thursday. Weaker-than-expected U.S. sanctions on Russia supported market sentiment, helping lift tech and industrial shares. China’s tech stocks advanced even after Alibaba announced the slowest revenue growth since it went public.  Benchmarks in Japan and India were among the top performers. India’s Sensex turned from the biggest loser in Asia to the biggest winner on Friday. Hong Kong’s Hang Seng Index dropped as the city deals with record Covid-19 cases.  Asian equities “showed signs of excessive drops, so today’s rise appears to be a technical rebound,” Seo Jung-hun, a strategist at Samsung Securities, said by phone. “Markets will continue to face volatility as Russia-sparked risks, the Fed’s policy tightening and inflation issues still persist.” Federal Reserve Governor Christopher Waller said a half percentage-point increase in U.S. interest rates next month could be justified, although the Ukraine conflict has added to uncertainty. The Asian stock benchmark is set for its worst week this month, down almost 4%, and remains close to entering a bear market. Geopolitical risks, regulatory concerns for Chinese private enterprises and a relatively slower pace of earnings growth compared with the rest of the world are all weighing on sentiment

Japanese equities climbed, sealing their first gain in six sessions, as blue chips led the charge following a late U.S. rally from the recent selloff in anticipation of Russia’s invasion of Ukraine. Electronics makers and telecoms were the biggest boosts to the Topix, which rose 1%. Tokyo Electron and SoftBank Group were the largest contributors to a 2% rise in the Nikkei 225. The yen retraced some of its 0.5% loss against the dollar overnight. “Expectations are spreading that the pace of rate hikes will be slowed down in the U.S. and Europe, considering the impact the Ukraine situation will have on the economy,” said Nobuhiko Kuramochi, a market strategist at Mizuho Securities

In rates, treasuries were slightly cheaper across the curve, with yields higher by 1bp to 1.5bp from Thursday’s session close. U.S. 10-year yield around 1.975%, cheaper by 1bp on the day with bunds lagging a further 1bp following data including France CPI beat, while Estoxx rally 1.5%; gilts outperform by around 2bp vs. Treasuries.

Treasuries pared an advance after Federal Reserve Governor Christopher Waller said a half percentage-point rate increase may be justified if economic data remain hot. European benchmark bonds traded steady to slightly lower. Gilts gained, led by the belly of the curve; Bank of England’s Huw Pill speaks later, with the pace of tightening in focus. IG dollar issuance slate empty so far; borrowers stepped away from debt sales Thursday leaving weekly total around $18b vs. $25b expected. German bunds bear-flatten on the back of a stronger-than-expected French CPI print, while money markets price as much as 42bps of ECB tightening in December, an increase of 5bps compared to Thursday.

In FX, the Bloomberg Dollar Spot Index was little changed as the greenback traded mixed versus its Group-of-10 peers, though most currencies were confined to narrow ranges relative to yesterday’s moves. The Australian and New Zealand dollars led G-10 gains on short covering after Thursday’s plunge; The yen was also higher while the euro fell a third consecutive day to trade below $1.12 and the pound erased an early advance. Hedging costs in the major currencies turned south early Friday, but investors aren’t ready to shift bias into risk-on exposure. French consumer prices rose 4.1% in February from a year earlier versus 3.3% in January. That’s the strongest reading since the data series started in 1997. Economists had forecast a 3.7% advance. Currencies from the European Union’s east weakened against the euro and the dollar, but were far from levels reached Thursday. A gauge of one-week implied volatility in the dollar against the Taiwan dollar jumped to a six-month high on Friday while the Taiwan dollar slid to the weakest since October in the spot market. The conflict in Ukraine may raise the risk premium for China and Taiwan over the medium term, according to Morgan Stanley.

In commodities, Brent trades around $99, while WTI slips below $93. Spot gold rises roughly $6 to trade near $1,910/oz.  European natural gas prices halt a record-breaking rally. Benchmark futures fell as much as 28%, after four consecutive days of gains. Most base metals trade in the red; LME aluminum falls 2.5%, underperforming peers. LME lead outperforms

Looking at the day ahead, data highlights from the US include the personal income and personal spending data for January, preliminary durable goods orders and core capital goods orders for January, pending home sales for January, and the final University of Michigan consumer sentiment index for February. In Europe, we’ll also get the preliminary French CPI reading for February, and the Euro Area’s economic sentiment indicator for February.

Market Snapshot

  • S&P 500 futures down 1.1% to 4,237.75
  • MXAP up 1.0% to 181.44
  • MXAPJ up 0.8% to 593.50
  • Nikkei up 1.9% to 26,476.50
  • Topix up 1.0% to 1,876.24
  • Hang Seng Index down 0.6% to 22,767.18
  • Shanghai Composite up 0.6% to 3,451.41
  • Sensex up 2.5% to 55,878.05
  • Australia S&P/ASX 200 up 0.1% to 6,997.81
  • Kospi up 1.1% to 2,676.76
  • STOXX Europe 600 up 0.8% to 442.68
  • German 10Y yield little changed at 0.16%
  • Euro down 0.2% to $1.1172
  • Brent Futures up 0.9% to $99.98/bbl
  • Gold spot up 0.3% to $1,909.09
  • U.S. Dollar Index little changed at 97.18

Top Overnight News from Bloomberg

  • Federal Reserve officials stuck to their resolve to raise interest rates next month despite uncertainty posed by Russia’s invasion of Ukraine, with at least one policy maker considering a half-point move
  • Out of 18 potential red flags in Citi’s global Bear Market checklist, only seven are currently waving, far fewer than before bear markets of 2000 and 2007, strategists led by Beata Manthey wrote in a note. In Europe, the number of danger signs is only five, they said
  • China’s Politburo vowed to strengthen macroeconomic policies to stabilize the economy this year, suggesting more support could be on the cards to boost growth ahead of a key leadership meeting later this year
  • Russia still has about $300 billion of foreign currency held offshore - - enough to disrupt money markets if it’s frozen by sanctions or moved suddenly to avoid them
  • China’s central bank ramped up its short-term liquidity injection in the banking system, providing support just as global markets are roiled by geopolitical tension

A more detailed look at global markets courtesy of Newsquawk

Asia-Pacific stocks mostly gained after the firm rebound on Wall St. ASX 200 was capped amid a slew of earnings and with outperformance in tech offset by weakness in miners and financials. Nikkei 225 outperformed and reclaimed the 26k status with exporters underpinned by a more favourable currency. KOSPI gained with index heavyweight Samsung Electronics underpinned as it launched global sales of its flagship smartphone and latest tablet which have attracted record pre-orders. Hang Seng and Shanghai Comp. were mixed with the mainland underpinned after the PBoC boosted its daily liquidity operation which resulted in the biggest weekly cash injection in more than two years. although Hong Kong was constrained by losses in the energy majors and with financials subdued amid pressure in HSBC shares and after China Communist Party inspections on financial institutions.

Top Asian News

  • China Pledges Stronger Economic Policies to Stabilize Growth
  • China Leaves Russia’s War Off Front Pages as Xi Stays Silent
  • Currency Traders Remain Vigilant Even as Hedging Costs Retreat
  • Asian Stocks Gain as China Tech, India Rebound; Hong Kong Drops

European bourses are firmer and back in proximity to initial best levels after losing traction shortly after the cash open, Euro Stoxx 50 +1.3%; FTSE 100 +1.9% outperforms amid Basic Resources strength. US futures are lower across the board, ES -0.9%, after yesterday's significant intra-day reversal to close positive; albeit, action has been rangebound within the European morning. US SEC's EDGAR feed is reportedly down; fillings cannot be made. In Europe, sectors are all in the green featuring noted outperformance in Utilities and  Basic Resources, Energy remains firmer in-spite of the crude benchmarks pullback

Top European News

  • Wall Street Cuts European Stock Targets as War Prompts Outflows
  • U.K. Takes Aim at Russia’s Opaque Embrace of London Property
  • UBS Triggers Margin Calls as Russia Bond Values Cut to Zero
  • What to Watch in Commodities: Ukraine Impact Roiling Markets

In FX, Aussie regroups alongside broad risk sentiment and rebound in Aud/Nzd cross amidst mixed NZ consumption and trade data - Aud/Usd near 0.7200 vs sub-0.7100 low yesterday. Buck bases after abrupt reversal from new 2022 highs in DXY terms and residual rebalancing may underpin alongside underlying safe haven bid - index above 97.000 again vs 96.770 low and 97.740 y-t-d best. Rouble supported by ongoing CBR intervention via higher repo auction cap - Usd/Rub around 84.000 compared to almost 90.000 record peak.
Yen and Gold off best levels, but both retain elements of safety premium - Usd/Jpy circa 115.35 and Xau/ Usd
hovering above Usd 1900/oz

In commodities, WTI and Brent have continued to pull back after overnight consolidation, Brent April notably below USD 99.00/bbl
vs USD 101.99/bbl highs. Focus remains firmly on geopolitics (see section above) while participants are also attentive to next week's OPEC+ meeting. Japan's Industry Minister said they will appropriately deal with an oil release from national reserves in cooperation with relevant countries and the IEA. Spot gold is rangebound after an initial move higher failed to gather steam and hit resistance at USD 1922/oz. Goldman Sachs recently commented that the rally for gold has a lot further to go on the situation in Ukraine and prices and that prices could reach as high at USD 2,350/oz if there is a build in demand for ETF.

Geopolitical updates

  • US Senior US administration official said the US still has room to further tighten sanctions if Russian aggression accelerates further and is keeping the option open to impose import-export controls on less advanced mainline chips such as those used in the Russian auto industry.
  • European Commission President von der Leyen said steps agreed by EU leaders include financial sanctions and they are targeting 70% of the Russian banking market, as well as key state owned companies including defence. Furthermore, the export ban will impact Russia's oil sector by making it impossible to upgrade refineries and EU is limiting Russia's access to key technologies such as semiconductors.
  • EU Council President Michel says they are urgently preparing additional sanctions against Russia, via AFP; subsequently, a German gov't spokesperson says a discussion of third sanctions package against Russia is in its early stages.
  • French President Macron said EU sanctions will be followed by French national sanctions on certain people which are to be announced later, while they will offer EUR 300mln of aid to Ukraine and military equipment, as well as target Belarus for penalties.
  • Russian Central Bank said it will provide any support needed for sanctions-hit banks and that banks have been well prepared in advance, while Ukraine's Central Bank banned operations with RUB and BYR, as well as banned banks from making payments to entities in Russia and Belarus.
  • Russia may retaliate for UK ban on Aeroflot flights to Britain, according to Tass citing the aviation authority; subsequently, Russia banned London registered craft from its airspace.
  • Russian Parliamentary Upper Chamber speaker says that Russia has prepared sanctions to hit the weak points of the West, according to Interfax.
  • Australian PM Morrison announced the nation is to impose further sanctions on Russian individuals and said it is unacceptable that China is easing trade restrictions with Russia at this time. Taiwan will join democratic countries to put sanctions on Russia for invasion of Ukraine and Japanese PM Kishida said they will immediately impose sanctions in Russia in three areas including the financial sector and military equipment exports, while Russia's envoy to Japan later said there will be a serious Russian response to Japanese sanctions.
  • UK Defence Minister Wallace says we would like to cut Russia off from SWIFT; French Finance Minister Le Maire says the option of cutting Russia off from SWIFT remains an option, but it a last resort.
  • India is reportedly exploring setting up INR trade accounts with Russia to soften the blow on India from Russian sanctions, according to Reuters sources.

Central Banks

  • Fed's Waller (voter) said it is too soon to judge how Ukraine conflict will impact the world or US economy and concerted action to rein in inflation is needed. Waller said rates should be raised by 100bps by mid-year and there is a strong case for a 50bps hike in March if incoming data indicates economy is still exceedingly hot, but added it is possible a more modest tightening is appropriate in wake of Ukraine attack , while he also stated the Fed should start trimming the balance sheet no later than the July meeting, according to Reuters.
  • ECB's Lane said there would be a significant increase to 2022 inflation forecast amid the Ukraine crisis but hinted at inflation below target at end of horizon according to Reuters sources; Lane presented several scenarios: Mild scenario: no impact to EZ GDP; seen as unlikely; Middle scenario: 0.3-0.4ppts shaved off EZ GDP; Severe scenario: EZ hit by almost 1ppt. Note, sources cited by Reuters suggested these were rough calculations.
  • BoE's Mann says all of the MPC agree that UK inflation is way above the BoE's goal; Mann added that domestic demand is strong and UK labour market is tight. BoE agents survey has been fundamental in guiding Mann's view on policy.

DB's Jim Reid concludes the overnight wrap

It's been a pretty seismic 36 hours and at some points yesterday the outlook for markets and economies felt very bleak. However remarkably after an 8 dollar round trip that first sent Brent crude over $105/bbl, oil (+2.31% on the day) eventually closed last night at $99.08 (still the highest since 2014), and only around the levels seen just before Russia launched the invasion just over 24 hours ago. It's edged up again in the Asian session to $100.75 as I type but the fact that oil stopped going parabolically higher helped turn the whole market around yesterday.

Indeed markets hit peak pessimism around lunchtime in Europe but Biden not yet putting sanctions on Energy or restricting Russian access to SWIFT seemed to cap off a more positive tone thereafter. Indeed the S&P and Nasdaq rose +4.23% and +7.04% respectively from the opening lows to close up +1.50% and +3.34% on the day. A remarkable turnaround. S&P 500 (-0.53%) and Nasdaq (-0.76%) futures are down again this morning but this is still clearly well off the lows.

If this event is going to have a lasting macro and market impact it has to hit energy prices and for much of yesterday it looked like it was on course to aggressively do so, and to be fair still might. European natural gas will be one to watch today as it soared +63.89% at its peak yesterday, only to fade towards the close to be 'only' up +33.31%. On a bigger picture basis the events of this week have to be forcing governments to think of their energy security in much more detail than they have in the past. Will it also impact the green transition? Surely it makes it more urgent in the medium-term but tougher to stick with in the short-term. Much will depend on what happens next for energy prices. Clearly the West may still put sanctions on this Russian supply which will undoubtedly risk a renewed spike in energy.

Diving into yesterday. The intraday turnaround in asset prices followed clarity on what the west’s next round of sanctions would look like. The sanctions were expanded to more connected individuals and entities, were designed to cut off high-tech exports crucial to Russian defense and tech industries, impinge Russia’s ability to raise capital on foreign markets by restricting access and freezing assets of some of their largest banks, and restrict Russia’s ability to deal in dollars, yen, and euros. The sanctions not applied, however, drove an intraday turn in risk assets and reversed measures of inflation compensation. Namely, President Biden noted the sanctions package was specifically designed to allow energy payments to continue, and that the US would release strategic oil reserves as needed to help ameliorate price pressures. Further, they did not cut off Russia’s access to the international payments system, SWIFT, though maintained the option of doing so.

Before the rally back there was a complete rout in numerous markets yesterday, and when it came to Russian assets there was frankly a capitulation, with the MOEX equity index (-32.28%) shedding more than a third of its value in a single day (-45.06% at the session lows). Bloomberg wrote a piece saying that the worst single day equity loss in their database for any country’s index was Argentina’s -53.1% fall in January 1990. In total, there have been seven worst days in stock market history than -33.3%. For what it’s worth, those equity declines are the sort that would trigger circuit breakers if they happened elsewhere. For example we couldn’t see that for the S&P 500 in a single day, since trading rules stipulate that there’s a complete halt for the day once you get to a -20% loss.

On top of that, the Russian Ruble -5.15% hit a record low against the US dollar, after suffering its worst daily performance since the height of the Covid crisis back in March 2020. And yields on 10yr Russian sovereign debt were up by +435.0bps to 15.23%.

The STOXX 600 fell -3.28% as it reached its lowest level since last May, with major losses for the other European indices including the FTSE 100 (-3.88%), the CAC 40 (-3.83%) and the DAX (-3.96%).

With investors pricing in a less aggressive reaction function from central banks, sovereign bonds saw a decent rally yesterday, having also been supported by the dash for haven assets. However the moves didn’t match the severity of the flight to quality shock, even at the worse point of the day, as the real return consequence of buying government bonds at a yields of 0-2% was all too apparent with inflation rife.

There was some big ranges though. 10yr US real yields were -27.7bps lower and breakevens +14.4bps wider as news of the invasion, and commensurate stagflation fears hit. However, the intraday turn around led to much more modest closing levels, with 10yr real yields -4.2bps lower and breakevens +1.5bps higher. 10yr nominal Treasury yields settled -2.8bps lower on the day at 1.96%. At shorter tenors, 5yr breakevens also displayed a remarkable intraday roundtrip, finishing +1.4bps higher after having hit an intraday peak +24.8bps wider at +3.39%, which would have been the highest reading on record. In Europe the breakeven widening was more sustained, and the 10yr German breakeven actually managed to close above 2% for the first time in over a decade yesterday, having climbed +12.9bps to +2.10%. Meanwhile nominal yields on 10yr bunds (-5.8bps), OATs (-7.0bps) and gilts (-3.2bps) all moved lower.

Energy prices are going to continue to keep central bankers awake at night, since they can’t do anything about the supply issues directly. More shocks will lead to both lower growth (absent fiscal suppprt) and higher inflation, with the risk being that you start to see second-round effects if higher inflation becomes entrenched. Notably, one of the ECB’s biggest hawks, Robert Holzmann of Austria, said in a Bloomberg interview that the conflict meant “It’s possible however that the speed may now be somewhat delayed.” That was music to the ears of peripheral sovereign debt in particular, which rallied strongly on the news, with the Italian spread over 10yr bunds moving from an intraday high of 178bps to close at 164.5bps.

In Asia the Nikkei (+1.63%), Kospi (+1.15%), Shanghai Composite (+0.54%), and the CSI (+0.78%) all are higher in line with the second half rally yesterday. Meanwhile, the Hang Seng (-0.16%) is lower.

In economic data, overall inflation for Tokyo rose +1.0% y/y in February, its fastest pace of growth since December 2019, on higher energy prices and after an upwardly revised +0.6% increase in January. Bloomberg estimates were for a +0.7% rise. Excluding fresh food, consumer prices in Japan advanced +0.5% in February y/y, accelerating from a +0.2% increase in January and outpacing a +0.4% gain expected by analysts.

In central banks news, the People’s Bank of China (PBOC) beefed up liquidity by injecting 300 billion yuan ($47.4 bn) into the financial system via 7-day reverse repos, amid concerns over the Russia-Ukraine conflict. For the week, the PBOC injected a net 760 billion yuan – the biggest weekly cash offering since January 2020.

Data releases understandably took a back seat yesterday, but we did get the weekly initial jobless claims from the US for the week through February 19, which fell to 232k (vs. 235k expected). We also saw the continuing claims for the week through February 12 fall to a half-century low of 1.476m, a level unseen since 1970. Otherwise, new home sales in January fell to an annualised rate of 801k (vs. 803k expected), and the second estimate of Q4’s GDP was revised up by a tenth from the initial estimate to an annualised +7.0%.

To the day ahead now, and data highlights from the US include the personal income and personal spending data for January, preliminary durable goods orders and core capital goods orders for January, pending home sales for January, and the final University of Michigan consumer sentiment index for February. In Europe, we’ll also get the preliminary French CPI reading for February, and the Euro Area’s economic sentiment indicator for February.

Tyler Durden Fri, 02/25/2022 - 07:57

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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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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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