The AI boom in healthcare sector: results and expectations
AI has rapidly gained a strong foothold in the healthcare sector, creating exciting use cases that bode well for research, diagnosis and treatment. – Written by Seref Doğan Erbek
AI has rapidly gained a strong foothold in the healthcare sector, creating exciting use cases that bode well for research, diagnosis and treatment. – Written by Seref Doğan Erbek
With nearly a year of interest rate increases behind us, it’s potentially time to ask (although perhaps prematurely): have the interest rate hikes had the desired effect? – Written by Seref Dogan Doğan
While AI is improving finance in so many ways, its growing global acceptance is creating uncertainty about the place of humans in a world that is increasingly machine-enabled. – Written by Seref Dogan Doğan
Amid sharply rising global energy and food prices, inflation has threatened to spiral out of control worldwide, and this is prompting concerted action from major central banks. With inflation hitting multi-decade highs in most economies, central banks are responding by hiking interest rates at a similarly record-breaking pace.
For instance, the Bank of England recently effected its largest rate increase in 27 years, and the previously “dovish” European Central Bank raised interest rates for the first time in 11 years, bidding farewell to a “long chapter of negative rates.”
However, despite the increased synchronicity of central bank measures worldwide, there continue to be outliers. Japan, for instance, has chosen not to implement a rate hike – instead, the country is focused on protecting its currency against a surging dollar. Likewise, even in countries where interest rates have risen, central banks have acted uniquely and with varying levels of urgency. Below, I take a closer look at how major banks in different regions are responding to inflationary pressures below, why they’re raising rates, and what they’re doing differently.
Inflation has been a key topic in economic discourse since mid-2021. Even before the cost-pushing trends caused by the conflict in Ukraine, there were strong signals that central banks would shortly act to reverse the quantitative easing measures implemented to prop economies up against COVID.
Now, with record inflation rates, banks are acting to put the brakes on and prevent entrenched inflationary pressures. By raising interest rates, they increase the cost of borrowing and this in turn reduces the purchasing power of consumers. With less purchasing power, demand for many goods and services should fall, ultimately resulting in lower prices.
As the IMF notes, central banks in emerging markets were the first to start hiking rates in 2021, before being followed by their counterparts in advanced countries. In a roundup of recent rate increases, Reuters reporting indicates that the US lifted rates by 75 bps on September 21 – and projections indicate more planned hikes, potentially bumping rates up to 4.4% by year-end.
The Bank of Canada has also aggressively tightened monetary policy, raising its policy rate to 3.25% – including a 100 bps raise at one point. There are further plans to raise policy rate by 50 bps to 3.75% in October. Meanwhile, the Bank of England has taken a more measured approach, delivering a 50 bps hike on September 22 – less than the 75 bps expected in the market. Nevertheless, money markets see sharper rate hikes on the horizon, with projections of a policy rate of 4.9% by June 2023.
Norway was the first major economy to start hiking rates in 2021, and on September 22 another 50 bps increase brought the country’s policy rate to 2.25%. Likewise, the Reserve Bank of Australia hiked rates for the fifth month in a row, delivering a seven-year high 2.35% policy rate.
Rate hiking action has been slower elsewhere, with Switzerland and the EU playing catch up. The Swiss National Bank only entered positive rates in September, with a 75 bps hike to 0.5% in its second rate increase this cycle. Similarly, the European Central Bank implemented a 75 bps hike in September, raising deposit rates to 0.75% while refinancing rates were up to 1.25% in the highest increase since 2011. Further hikes are likely, with the ECB signaling that rate rises may well continue into 2023.
While conventional wisdom suggests that targeted rate hikes can help control inflation, central banks are wary of overshooting their inflation targets. As Euronews notes, “aggressive monetary policy is a tightrope walk: making money more expensive can slow down growth, weaken salaries, and foster unemployment.”
In a survey conducted in November 2020, McKinsey & Co. found that roughly 80% of European small and medium-sized enterprises (SMEs) viewed their economy as “somewhat to extremely weak”. While the sentiment varied across national economies, SMEs in Italy and Spain were the least optimistic, while Germany had the most optimistic.
Nearly two years later, many of the challenges that informed this SME stance are still unresolved or have worsened in some instances. Businesses across the EU continue to experience difficulties owing to congested supply chains, rising energy costs, and stretched finances.
Likewise, the industries most affected by the pandemic, including hospitality, cultural, creative, food and drinks – which account for a majority of SMEs – are still on a sluggish path to recovery.
Commentators in some quarters suggest that regulatory bodies, such as the European Commission, are not doing enough to help EU SMEs survive and thrive.
I doubt that anyone can deny the overwhelming and far-reaching effects of the COVID-19 pandemic, especially in the SME sector. For a sector that is mostly labor-intensive and dependent on liquidity generated from a steady cadence of demand and supply, the SME sector was amongst the least prepared for the pandemic. Their higher focus on physical selling, coupled with the low rates of digitalization in the sector, meant that when COVID hit, it hit hardest for small companies, including those in Europe.
Explaining why this was the case, Anna Fusari, the European Investment Bank’s head of Banks and Corporates division in the Adriatic Sea region, noted the “thinner liquidity reserves” that SMEs often have. Additionally, “they have limited financial alternatives, and they mostly rely on support from local banks,” says Fusari. “In the majority of cases they lack assets that can be disposed of, or that can be used as collateral for new credit lines.”
While the EU swung into action in passing comprehensive financial and economic measures to broadly support businesses, including SMEs, the situation remains challenging for these companies.
Further, as Christine Lagarde, head of the European Central Bank, admitted in a 2021 speech at the “Jahresimpuls Mittelstand 2021” in Frankfurt, “[the] reality is currently hard for many [SME] firms and the future remains uncertain.”
Yet, this was before the crippling supply chain squeezes recorded from mid-2021 and the energy crisis that has plagued households and businesses since then. Since then, business has gotten much tougher for SMEs who have to contend with runaway business costs while demand has remained static or below pre-pandemic levels in the sectors hardest hit in 2020.
SMEs are a critical component of any economy, particularly in the EU where they contribute 66.6% of jobs and 56.4% of total added value. As I see it, the EU must act with even greater commitment to ensure micro, small, and medium companies in the region experience relief from the highly volatile and uncertain business environment they have endured for the past two plus years.
While the EU has weighed in with unprecedented financial and economic outlays since the pandemic, the sentiment from SMEs is that the aid is either insufficient or only serves as a temporary salve to deeper injuries. Speaking to Financial Times in 2021, Maxime Lemerle, the head of sector and insolvency research at Euler Hermes, highlighted the risk of “zombified companies” that receive just enough liquidity that keeps them on the brink of failure. “These zombified companies in hospitality, retail, transport, leisure and events could go bust very quickly even if the support measures are wound down quite slowly,” says Lemerle.
AAs the World Economic Forum reports, oil prices jumped above $110 per barrel in the weeks after Russia’s invasion of Ukraine. Likewise, natural gas prices more than tripled between mid-February and early March in reaction to the conflict, signaling how the war is affecting energy prices globally.
But in the case of the Russia-Ukraine conflict, energy sensitivities to the war go well beyond volatile price action.
Considering Russia’s status as a significant player in global energy supply and the lengthy profile of countries (including the EU and India) relying on its output, there are other nuanced issues at stake in the conflict.
I outline some of these below.
Energy, being a driver of practically all industry, is a critical global resource. However, the commodity’s volatility – resulting from sensitivity to global or regional disruptions, price seasonality, and industry concerns – makes it an economic wild card at times.
The effects of this price seasonality often vary, but in most cases, it results in disruptions to local and global supply, sharp price hikes, or scarcity in the commodity. Countries are often keen to avoid this outcome, which is one of the reasons why the international community has not placed a coordinated embargo on Russian gas.
In the case of the EU and countries such as Germany, Poland and Bulgaria, these concerns are all the more critical due to their reliance on Russian energy. The EU gets 40% to 45% of its gas from Russia, while Germany, Austria, and Italy fulfill 55%, 80%, and 40% of their respective gas needs from Russia. These countries are largely paralyzed from taking concerted action due to their potential vulnerability to shocks resulting from energy disruptions.
Russia and its trade partners have experienced turbulent economic relationships in the past, particularly in relation to energy agreements. For instance, Russia and Ukraine had a 2008 dispute over a gas transit deal that resulted in Russian gas supply cuts to its neighbor in the dead of winter. Likewise, Russia shut off Ukraine’s gas supply after a 2014 payment dispute, indicating the superior bargaining power of the Russian government.
Russia recently activated these same measures against Poland and Bulgaria (which gets 90% of its gas from Russia) for their failure to pay for gas supply in Russian roubles as opposed to US dollars.
Russia continues to maintain a difficult, and often complex, relationship with its trade partners, especially in Europe and North America. Consequently, responding to the potential of Russian gas shut offs demands opening up alternative supply channels to blunt the effects of any Russian action. But that option will take time to implement, which is a distinctly limited resource in times of war.
While the battle lines in Ukraine seem reasonably clear, the underlying economic relationships underpinning the conflict are much less so. For instance, the two main actors – Russia and Ukraine – continue to maintain energy relations as Ukraine is still a key player in the transit of Russian gas to Europe.
To add some economic leverage to its conflict against Russia, Ukraine has also now activated some of its control over that process, blocking Russian flows to Europe. As a result, natural gas prices in Europe have jumped even higher in the day after this action, adding further complexity to the conflict.
Even the US, which has expressly forsworn energy imports from Russia, is still partly dependent on the country for 16% of its uranium imports, emphasizing the complex interrelationships that underpin the train of events.
There are strong arguments that uncertainty has been the defining economic feature of the past three years. From the US-China trade war to COVID-19 and the supply chain crisis of 2021, markets have been constantly up or down with remarkably few (and generally short) periods of stability in between.
2022 has only continued that trend so far. As the New York Times reports, stock markets have experienced several wild swings this year alone, with the S&P registering record losses (including its longest losing streak since 2011) amidst intermittent rallies.
Likewise, global events such as the Russia-Ukraine war, rising inflation, and enduring COVID tailwinds are contributing to this uncertain state of affairs.
Consequently, market participants and stakeholders are reacting with increased caution. CNBC, citing an Allianz Life survey, reports that 43% of investors say they’re “too nervous” to invest within this market, especially considering the lack of clarity as to what comes next. Stakeholders and participants may have to wait longer for clarity though, because, as I argue below, the unsure state of the market is only likely to continue. Here are the top reasons why.
Mid-2021 produced higher than expected global growth figures, fueling an optimistic outlook for a global economic rebound. The pace of that growth slowed down before year-end though, due to chronic supply shortages and a resurgence of new COVID variants omicron and alpha.
This year has not brought any improvement in the situation. As the World Bank reports, global economies continue to experience decelerating growth due to the exhaustion of pent-up demand and unwinding fiscal support. Likewise, a sharp incline in global inflation rates has impacted consumer spending as greater income shares go to necessaries and less allocation to savings and investment.
I’ve mentioned tightening fiscal policy above, but it’s worth a closer inspection. Central banks in Europe, Japan, and the US intimated earlier in the year that they would be exploring a tighter monetary policy in a bid to combat rising inflation. Consequently, we’ve seen the Federal Reserve raise rates recently and the European Central Bank has given a clear signal on rate hikes in July.
As the New York Times reports, investors and industry are reacting to the news with caution as they consider the potential implications of these rate hikes and how they are likely to play out. Consequently, I expect decelerated borrowing activity while the industry gauges incoming measures.
War is generally bad for stability, but in the case of the Russia-Ukraine war there are more reasons why this is the case. Russia is a major player in the global energy market, but its energy obligations to trade partners and general global supply are more susceptible to shocks due to the specter of war.
Global supply runs the risk of damage to critical Russian transmission infrastructure, such as the key pipelines running through Ukraine and other supply channels. Damage to these pieces of infrastructure may further congest an already inflated market, resulting in even higher prices and less of the product.
It’s unclear how long the conflict will last. Consequently, the energy sector will likely continue to experience elevated prices and uncertain supply.
Another important factor, which is largely being ignored for the moment, is the continuing effect of the pandemic on global trade. Enduring concerns over COVID variants, new and large-scale outbreaks in China, and attendant supply chain congestion are all contributing to a highly uncertain market state.
Considering that vaccine hesitancy is still wide-spread and vaccine penetration levels continue in the low figures (particularly in emerging economies), we’re likely some way off complete clarity in this area as well.
For companies still reeling from pandemic tailwinds and last year’s supply chain shocks, the Russia-Ukraine conflict couldn’t have come at a worse time.
While most organizations were focused on consolidating growth gained within the past year, new concerns raised by the war have forced boardrooms back into crisis mode as they grapple with rising energy and supply costs.
Likewise, further constrictions resulting from sanctions on Russian entities and individuals have impacted certain businesses, forcing them to either abandon or suspend ventures with Russian-linked partners.
As a remedial policy, the EU recently adopted new support measures to aid businesses that have been put at risk by the conflict and attendant sanctions meted on Russia. The measures, which went into effect on 23 March 2022, will provide financial aid up to €400,000 for some affected businesses and state guarantees on bank loans to qualifying companies.
According to Margrethe Vestager, European Commission VP of competition policy, the state aid measures are adapted under a Temporary Crisis Framework (TCF) that aims to mitigate the impact of the war and existing sanctions while retaining competition in the Single Market.
Three types of aid are available under the TCF:
These measures carry additional conditions that states must apply regarding qualifying companies. The EC calls these “safeguards” designed to protect economically-viable businesses, ensure that aid reaches companies in need, and foster the long-term sustainability goals of the EU.
Accordingly, states should establish a link between the impact on affected companies, the scale of their economic activity, and the amount of aid they can collect. They might take each company’s turnover and energy expenses into account in this determination. Likewise, aid to energy-intensive companies is envisaged to mean companies whose energy expenses constitute at least 3% of production value.
Lastly, states are encouraged to consider tying aid to sustainability goals for the affected business, but in a non-discriminatory manner.
The TCF is slated to expire on 31 December 2022. Although, before expiry, the EC will convene to determine if there is a need to extend the framework.
Although Buy Now Pay Later (BNPL) emerged before the pandemic, the attractive e-commerce payment option is soaring on post-COVID adoption.
BNPL provides short-term financing to online shoppers, allowing them to split the cost of purchases into affordable installments. For most shoppers, BNPL is a comfortable payment alternative since it lets them enjoy goods instantly while experiencing the benefit of spread-out, potentially interest-free payments.
While the trend began with innovative Fintech companies, global payment processors and banks like MasterCard and Goldman Sachs have taken notice. Consequently, BNPL is on an explosive growth trajectory, and estimates are that spending using the service will reach nearly $700 billion by 2025.
But what is behind the BNPL rise and how does it work?
As the name suggests, BNPL lets buyers purchase goods, typically online, and pay later either in a lump sum or installments. As I see it, the process involves three parties: the merchant, the customer, and the BNPL provider.
Between the customer and the BNPL provider, the agreement is that goods will be bought and paid for at a later date (a grace period of sorts), usually within a few weeks or months of the purchase. During this grace period, the buyer can pay installments or the full debt at no interest.
But if the buyer does not make payment within the agreed period, interest may begin to run. Likewise, if the buyer misses an installment, they may be liable to pay late fees in addition to the outstanding installment.
Between the merchant and the BNPL provider, the agreement is that goods bought will be paid for immediately by the BNPL provider. This way, the merchant need not wait potentially several months to receive full payment and can enjoy optimal liquidity. In exchange, the merchant agrees to pay the BNPL provider a percentage of the sale price (between 2-8%) for the service rendered.
Due to the fact that BNPL provides ease and convenience for both buyers and sellers, the payment trend has secured wide approval. Some of the major BNPL providers globally include firms like Affirm, Ant Financial, Afterpay, Klarna, Zilch, Flava, MasterCard, Visa, and PayPal.
As described by e-commerce platform VTEX, BNPL is currently the “fastest growing way to pay in the developed world.” To underscore just how fast the payment trend has grown since COVID, one study reports that BNPL use quadrupled in 2020.
While the trend is highest amongst younger shoppers, the affordable payment option is popular amongst adults of all ages, according to the BBC. Compared to credit cards, users see BNPL as a simpler and more transparent alternative since it avoids the complex terminology and conditions associated with bank cards.
The top reason why people adopt the payment method is its ease and convenience. Because it is instantly available and potentially more forgiving than credit card loans, buyers feel more confident adopting this payment option.
Likewise, merchants possibly attract higher average order volumes because people tend to spend between 10-40% more with BPNL. They’re also more likely to overcome buyer hesitancy because BPNL encourages more convenient returns – it’s easier to test out a product when you don’t have to pay immediately. It also works wonders for cart abandonment. In fact, Afterpay reports that 69% of millennials and 42% of Gen Z shoppers are more likely to complete the buying journey when BNPL is offered.
However, despite its clear advantages to buyers and merchants, there are several unavoidable red flags with BPNL. In my opinion, unrestrained lending will only help perpetuate the ongoing global consumer credit debt crisis. Besides, consumers are naturally prone to underestimating risks and overestimating benefits, which might work to put many people in more debt than they expect.
While countries like the UK are already working on potential regulations for the sector, the question is: can they work fast enough to pass needed guidance before consumers get in way over their heads?
In the past two decades, national banks pumped trillions into their economies to grapple with recession and stimulate economic growth in a process called Quantitative Easing (QE).
However, with inflation at a 40-year high, the Federal Reserve, alongside other central banks, is backtracking from this policy in a bid to raise interest rates and disincentivize borrowing, according to Business Insider.
While QE may have defined the response to the 2008 global recession and COVID-19, Quantitative Tightening (QT) is “the new watchword”.
But with plans to shave roughly $2 trillion off the biggest central banks’ balance sheets, there are concerns over the potential impact of the policy. Just as QE was novel when adopted in 2009, QT has never been done on this scale. How could the Fed implement QT and what effects are likely to result? Here’s what I think.
Quantitative Tightening is a monetary policy aimed at reducing the size of a central bank’s balance sheet – that is, its assets and liabilities. The policy, also called balance sheet normalization, is the exact opposite of Quantitative Easing. In QE, the central bank buys long-term government bonds in a process that actively increases the size of its balance sheet, thereby flooding the economy with needed liquidity that in turn pushes interest rates down.
As Bloomberg explains it, when a central bank implements QE, “it increases the supply of bank reserves in the financial system, and the hope is that lenders go on to pass that liquidity along as credit to companies and households, spurring growth.” The Fed implemented this policy during the 2008 financial meltdown, increasing its balance sheet from $1 trillion to $4.5 trillion by 2018, and again during COVID-19, leading to an all-time high balance of nearly $9 trillion.
In contrast, the central bank reverses its policy under QT, instead working to lighten its balance sheet and reduce the money supply in the economy. It does this by cutting down on reinvestment of proceeds from maturing government bonds and raising interest rates. The Fed has announced its intention to move forward with QT plans, and analysts quoted by Business Insider suggest that could be as early as summer this year.
As I see it, the Fed could adopt the same approach it took previously when it briefly implemented QT between 2017 and 2019. The first stage involved a steady tapering of its monthly bond purchases, which were roughly $120 billion a month as of November 2021. Current indications are that the Fed plans to end purchases by mid-March 2022.
At the next stage the Fed maintained its balance sheet for a three-year period during which it focused on raising interest rates. It took the first step towards a rate hike in December 2015, says the Federal Reserve Bank of St. Louis, and completed an increase from 0% to 2.5% by 2018. The Fed could take the same approach this time, although at a much faster speed.
QT will likely start gradually and then build up as it proceeds. Last time, the Fed started shedding its bond holdings at $10 billion a month, which eventually increased to $50 billion monthly at its peak. Projections are that the coming QT will proceed at a much more aggressive pace, possibly at $100 billion per month according to JPMorgan Chase & Co.
The big question though is: what effects will QT likely have on the economy? In theory, if QE helped lower interest rates and increase liquidity, QT should do the opposite and help bring down inflation. But no one, not even the Fed itself, really knows.
The last time the Fed attempted QT, the results weren’t encouraging. While the process started smoothly, stocks fell within three months (the S&P 500 fell by more than 6%), and after ten months of roller-coaster stock prices the central bank eventually pulled the plug. Might the same effects result this time around? I believe only time will tell.