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Alex Osola
The relationship between President Trump and Elon Musk ruptures in real time. Plus, the US Trade deficit marked a record breaking decline in April. And Humana backs changes to lucrative Medicare billing practices.
Christopher Weaver
That represents kind of a crack in the unity of the industry in opposing changes to this at a time when a bipartisan consensus about potentially doing something about it has emerged in Congress.
Alex Osola
Alex It's Thursday, June 5th. I'm Alex Osola for the Wall Street Journal. This is the PM edition of what's News, the top headlines and business stories that move the world today. Long, simmering tensions between President Trump and Elon Musk burst into the open today as the two men traded barbs and insults. Speaking in the Oval Office alongside German Chancellor Friedrich Merz, Trump addressed Musk's latest attacks on his signature tax bill for the first time, saying he was disappointed in his former White House adviser and suggested he was suffering from, quote, trump derangement syndrome. The president attributed Musk's frustrations to provisions in the legislation that repeal tax credits for electric vehicles.
Donald Trump
I'm very disappointed because Elon knew the inner workings of this bill better than almost anybody sitting here, better than you people. He knew everything about it. He had no problem problem with it. All of a sudden he had a problem. And he only developed the problem when he found out that we're going to have to cut the EV mandate because that's billions and billions of dollars.
Alex Osola
The war of words and tweets on the social media app X escalated from there. Musk, who spent hundreds of millions of dollars to help get Trump reelected, shot back that Trump was ungrateful and wouldn't be sitting in the Oval Office without his support. Musk also indicated he was fine with the electric vehicle provisions in the legislation. He even if he considered them unfairly singled out, as long as Republicans, quote, ditch the mountain of disgusting pork in the bill. Musk wrote on X in a separate post, Trump threatened to, quote, terminate Elon's governmental subsidies and contracts, to which Musk responded by saying that Trump is in the Epstein files and that's why they haven't been made public. Musk was referring to files from a federal investigation into alleged sex trafficking and abuse by disgraced financier Jeffrey Epstein. And Epstein, who died by suicide in 2019, had well known connections to many in elite New York society, including Trump. The FBI and Justice Department didn't immediately return requests for comment. The White House didn't immediately respond to a request for comment. Separately, President Trump has said that Russia and Ukraine might need to keep fighting before either side is ready for a ceasefire. Trump said that neither Moscow nor Kyiv were ready to make peace and and then it might be wiser to let the war continue before seriously pursuing diplomacy.
Donald Trump
They have two kids, they fight, fight, fight. Sometimes you let them fight for a little while. You see it in hockey, you see it in sports. The referees let them go for a couple of seconds, let them go for a little while before you pull them apart.
Alex Osola
It's an acknowledgment that Trump's sprint for a peace deal has failed. Trump said repeatedly during the 2024 presidential campaign that he could end the Russia Ukraine war in a day. He has since claimed that he was speaking sarcastically. Merz, asked if he also saw the conflict as between two children, said Trump was the most important player in ending the war and that it's their duty to do something now to stop it. President Trump spoke today with Chinese leader Xi Jinping. Trump wrote on social media that the one and a half hour call was productive and and focused almost entirely on trade, and that they didn't discuss the war in Ukraine and other global hotspots. Trump said that one point leading to a breakdown in trade talks. The export of rare earth minerals, which are critical to the US Auto industry, had been addressed. Details were unclear, however, and Beijing struck a less conciliatory note in its account of the call, raising questions of whether Trump had extracted a firm commitment from Xi to loosen controls over rare earths and other critical minerals. And you can hear more about the economic and security implications of these critical minerals and the challenges to scaling up U.S. mining interests this Sunday on what's new Sunday. The U.S. trade deficit marked a record breaking decline in April. The Commerce Department said today that U.S. imports fell 16% versus March to $351 billion in April, the biggest drop in dollar terms on record. Exports, meanwhile, rose 3% to about $289 billion. That yielded a trade deficit of roughly $62 billion, the smallest imbalance since September 2023. For more on the numbers and what they mean, I'm joined by WSJ reporter Matt Grossman. So Matt this April data reflects the time after President Trump imposed the US Tariffs. Are we seeing the first results of that here?
Matt Grossman
Reducing the trade deficit is basically the reason that Donald Trump wanted to put on the tariffs that he did in the first place. As you said, this is one of the biggest swings that we've seen in a long time, if not ever. And I think that reflects how quickly trade policy has been changing. Earlier this year, there was a very rapid increase in the trade deficit because American importers were expecting steep new tariffs, and they realized they had to do as much importing as they could before those import tariffs hit. So in February and March, we had record levels of trade deficits and the imbalance was bigger than we'd ever seen it. The tariffs hit in April, and that quickly reverted to a much more balanced trade picture.
Alex Osola
Okay, so the tariffs are having their intended effect, as you say. I mean, what happens next? Is there reason to think that things will continue in this way?
Matt Grossman
It's really hard to say what happens next. A lot of the shift we saw in April was a reversal of the trends that came earlier this year. So it's not really clear yet if the deficit's going to keep shrinking, if it's going to stay at this current level. A lot of that has to do with how American companies decide to respond to the new tariffs. And of course, the tariff policy is still changing very quickly. It's changed several times since the beginning of April. There are more changes ahead as the US Negotiates more trade deals and as opponents of tariffs continue to try to use the courts to block some of them. And that means there's just a lot of uncertainty ahead.
Alex Osola
I'm just curious how consumers fit in here, because consumer sentiment has been quite low, but it seems like people are still spending, even if it's not the same way they were spending before. So how much of what comes next hinges on what consumers do?
Matt Grossman
The relationship between consumers outlook and their income and the trade deficit is a very dynamic situation. A lot of it has to do with, first of all, how much the tariffs lead companies to increase their prices. And depending on how much those prices go up, it will really be up to shoppers to decide whether they can afford to keep paying those prices, whether they're going to shift to buy more American products, or whether they're just going to be shopping a lot less in general. That complexity is what makes it so hard for economists to predict where this is going to go.
Alex Osola
That was WSJ reporter Matt Grossman. Thank you, Matt.
Matt Grossman
Thank you.
Alex Osola
Major US Indexes ended the day lower. The Dow fell a quarter of a percent, The S&P 500 dipped about half a percent and the Nasdaq fell about 0.8%, dragged down by Tesla, which ended the day down about 14%. After that, Trump Musk Face off One of the stocks that did great today was crypto firm Circle Internet Group. The stablecoin issuer made its stock market debut today. Shares opened at $69, more than double their IPO price, and closed around $83. The shares were paused for volatility shortly after they began trading. The company raised over $1 billion in its IPO, signaling a potential warm up for the sleepy IPO market. This summer, Circle issues the world's second largest stablecoin called USD Coin, or USDC, which according to CoinMarketCap has a market capitalization of about $62 billion. Stablecoins are backed by reserves of cash or cash like assets such as Treasuries, and are supposed to maintain a one to one exchange ratio with the dollar or other government currencies. Coming up why insurer Humana is supporting changes to practices that generate billions for the Medicare industry? That's after the break.
GMC Representative
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Alex Osola
Humana, the second biggest Medicare insurer, has told congressional staffers that it will support moves that would curtail billing practices worth billions and extra payments to the industry. That's according to staffers and a document viewed by the Wall Street Journal. The stance by a leader in the Medicare Advantage business represents an important development in a growing debate over how the companies are paid. Christopher Weaver covers healthcare companies for the Journal. Okay, Christopher, what exactly is changing here?
Christopher Weaver
For years, Medicare Advantage Companies like Humana, UnitedHealth Group and others have made a lot of money from adding diagnoses to patients records in the Medicare Advantage system by doing home visits where they send like a nurse practitioner to somebody's house to look them over, look at their medicines, do assessments and add extra diagnoses that can trigger payments. It's been incredibly lucrative for some companies, and an analysis we did last year showed it generated about $15 billion over a three year period. And by all accounts, it's only gone up since. For years, the industry's defended these practices and Humana has essentially reversed its position, signaled an openness to a quite sweeping change. And that represents kind of a crack in the unity of the industry in opposing changes to this at a time when a bipartisan consensus about potentially doing something about it has emerged in Congress.
Alex Osola
What would the impact be of some of these changes on Medicare and on patients?
Christopher Weaver
For Medicare and for the taxpayers who fund it, the changes could be significant savings. The Congressional Budget Office estimated that a similar proposal to curtail payments based on diagnoses from home visits could generate $124 billion over 10 years. For patients, it's less clear. This is a nurse practitioner in somebody's house and it may have some genuine clinical benefit for many patients to help make sure people are getting the right connections to the primary care doctors who see them. So it's not clear whether they would drastically rein in the volume of visits that they're doing or not. But the potential is there if they're not as lucrative.
Alex Osola
As you mentioned, Humana's move represents a crack in the unity of the industry. Will that put pressure on other insurers to follow suit?
Christopher Weaver
The reality is Humana has always been more conservative in using some of these tools to amplify its revenue. So while they would take a hit from those policies, it would be less than some of their competitors. At the same time, everybody in this industry knows the writing is on the wall with regard to these practices, and they're all going to signal some openness to change. It's just a question of where on the spectrum that falls.
Alex Osola
That was WSJ reporter Christopher Weaver. Thank you, Christopher.
Christopher Weaver
Thank you.
Alex Osola
And the U.S. supreme Court made it easier for workers to sue for reverse discrimination. In a ruling today, the court unanimously agreed to allow a woman to pursue a claim that she was denied a job promotion because she is straight. Claims of discrimination from members of majority groups have already become more common in recent years. And that's what's news for this Thursday afternoon. Today's show is produced by Pierre Biennime and Anthony Banci, with supervising producer Michael Kasmides. I'm Alex Osola for the Wall Street Journal. We'll be back with a new show tomorrow morning. Thanks for listening.
WSJ What’s News: Episode Summary – "The Trump-Musk Alliance Unravels in Real Time"
Release Date: June 5, 2025
Hosts: The Wall Street Journal Team, Featuring Alex Osola, Matt Grossman, and Christopher Weaver
Overview: The central focus of this episode is the deteriorating relationship between former President Donald Trump and tech mogul Elon Musk. Once allies, their alliance has significantly strained, highlighted by public exchanges of criticism and blame.
Key Discussions:
Trump’s Criticism of Musk:
Musk’s Retaliation:
Implications of the Feud:
Overview: A significant portion of the episode analyzes the U.S. trade deficit, which saw an unprecedented decline in April, marking a pivotal moment in trade policy dynamics influenced by former President Trump's tariffs.
Key Discussions:
Statistical Highlights:
Analysis by Matt Grossman:
Future Projections:
Overview: The episode provides an update on major U.S. stock indexes and highlights notable movements within the market, including the debut of crypto firm Circle Internet Group.
Key Highlights:
Market Overview:
Circle Internet Group IPO:
Overview: A significant shift in Medicare Advantage billing practices is explored, with Humana, the second-largest Medicare insurer, advocating for changes that could impact billions in payments to the industry.
Key Discussions:
Industry Practices:
Impact of Proposed Changes:
Industry Response:
Overview: The episode concludes with a significant Supreme Court decision that affects employment discrimination claims, particularly those involving members of majority groups.
Key Discussion:
Ruling Details:
Context and Implications:
This episode of WSJ What’s News provides a comprehensive overview of pivotal events shaping the business and political landscape. From the unraveling alliance between Trump and Musk to significant shifts in U.S. trade policies, stock market dynamics, Medicare billing reforms, and landmark Supreme Court rulings, the episode delivers in-depth analysis and expert insights. Notable quotes from key figures enrich the discussion, offering listeners a nuanced understanding of the current economic and political climate.
Produced by: Pierre Biennime and Anthony Banci
Supervising Producer: Michael Kasmides
Host: Alex Osola
For a deeper dive into these topics, including economic and security implications of critical minerals and the challenges of scaling U.S. mining interests, tune in to the upcoming "What’s News Sunday" episode.